Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 67661 | CT |
NPI | 1013361229 |
---|---|
Provider Name | Effy Amondy Ojuok |
First Address | Waterbury, CT 06708-2514 |
Second Address | Waterbury, CT 06708-2514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 03/11/2021 |