Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 207V00000X | CT |
NPI | 1447696844 |
---|---|
Provider Name | Oluwatosin O Adeyemo |
First Address | New Haven, CT 06519-1233 |
Second Address | New Haven, CT 06511-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 01/11/2021 |