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Individual

DR. OLUWOLE OLUGBENGA JEGEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
184 FRONT AVE, WEST HAVEN, CT 06516-2836
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65093
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008068298
CT
05
008068631
CT
05
008068669
CT
05
008068749
CT
05
008095286
CT
Enumeration date
01/12/2011
Last updated
01/24/2022
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