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MS. MOYOSORE OMOWUMI ABIMBOYE M.D.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1174935209
Individual Registrant:MS. MOYOSORE OMOWUMI ABIMBOYE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
20 YORK ST YNHH GERIATRIC MEDICINE NEW HAVEN, CT 06510-3220 US
Tel: 208-520-3688 Fax: --
Tel: 208-520-3688 Fax: --
Contact information for business:
20 YORK ST YNHH GERIATRIC MEDICINE NEW HAVEN, CT 06510-3220 US
Tel: (20-3) -688-4242 Fax: --
Tel: (20-3) -688-4242 Fax: --
Registration Information:
NPI: 1174935209
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207RG0300X | Allopathic & Osteopathic Physicians Internal Medicine | CT | 56875 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
