Individual
DR. FELIX B MPUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3180 MAIN ST, SUITE 305, BRIDGEPORT, CT 06606
(203) 372-6322
(203) 371-8930
Mailing address
3180 MAIN ST, SUITE 305, BRIDGEPORT, CT 06606
(203) 372-6322
(203) 371-8930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
027879
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001569
HEALTHNET
—
01
—
010027879CT05
ANTHEM BCBS
—
05
—
1278795
—
CT
01
—
25494
OXFORD
—
01
—
781070
CONNECTICARE
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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