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OBINNA I MADUKA MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1710065917

Individual Registrant:
 OBINNA I MADUKA MD
Gender: M
Sole Proprietor

Location and contact information for practice:
387 TUCKIE RD STE C  NORTH WINDHAM, CT 06256-1355 US
Tel: 860-456-1279  Fax: 860-456-1298

Contact information for business:
387 TUCKIE RD STE C  NORTH WINDHAM, CT 06256-1355 US
Tel: 860-456-1279  Fax: 860-456-1298

Registration Information:
NPI: 1710065917
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CT037518

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
001375189CT05




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