Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 52429 | CT |
NPI | 1013127885 |
---|---|
Provider Name | Dr. Adora Ozumba Drye |
First Address | Trumbull, CT 06611-2250 |
Second Address | Milford, CT 06460-4603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 24/04/2017 |