Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 049514 | CT |
NPI | 1073771804 |
---|---|
Provider Name | Onyema Eberechukwu Ogbuagu |
First Address | Meriden, CT 06450-1784 |
Second Address | New Haven, CT 06510-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 19/03/2012 |