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Individual

DR. GABRIEL OLUSEUN ARIMORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 KELSEY ST, SUITE 104, NEWINGTON, CT 06111-5436
(860) 667-1332
Mailing address
93 ROCKLEDGE DR, NEWINGTON, CT 06111-5152
(203) 887-5950

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
045609
CT
2084P0802X
Addiction Psychiatry Physician
045609
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AVRS 008004031
CT
Enumeration date
08/09/2007
Last updated
06/18/2012
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