Dr. Ebenezer Kolade
Internist - Addiction Medicine
3851 Main St
Bridgeport
, Connecticut 06606-2864
Dr. Ebenezer Kolade
Internist - Addiction Medicine
3851 Main St
Bridgeport
, Connecticut 06606-2864
(203) 374-7515
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Ebenezer Kolade
- 3851 Main St
- Bridgeport, CT
- Zip : 06606-2864
- Fax : (203) 374-7515
- Phone : (203) 372-3333
Second Address
- Dr. Ebenezer Kolade
- 3851 Main St
- Bridgeport, CT
- Zip : 06606-2864
- Fax : (203) 374-7515
- Phone : (203) 372-3333
Reviews
FAQs
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What type of doctor is Dr. Ebenezer Kolade
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Is Dr. Ebenezer Kolade a sole practitioner?
Is Dr. Ebenezer Kolade accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 040029 | CT |
National Provider Identifier
| NPI | 1376618611 |
|---|---|
| Provider Name | Dr. Ebenezer Kolade |
| First Address | Bridgeport, CT 06606-2864 |
| Second Address | Bridgeport, CT 06606-2864 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F41823 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.