Individual
JITE TOBORE ADENIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(202) 390-5943
Mailing address
2900 MAIN ST APT 332, BRIDGEPORT, CT 06606-4210
(202) 390-5943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2019-0148
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2016
Last updated
08/28/2019
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