Healthcare Provider Details

I. General information

NPI: 1780593202
Provider Name (Legal Business Name): O&C INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 STONEHEDGE DR
STOCKHOLM NJ
07460-1101
US

IV. Provider business mailing address

21 STONEHEDGE DR
STOCKHOLM NJ
07460-1101
US

V. Phone/Fax

Practice location:
  • Phone: 347-337-9656
  • Fax:
Mailing address:
  • Phone: 347-337-9656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: OLISAEMEKA OLIVER AKAMNONU
Title or Position: CO-OWNER
Credential:
Phone: 347-337-9656