Individual
EDWARD AMELEMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 UCONN HEALTH BLVD, FARMINGTON, CT 06030-1702
(860) 679-7600
Mailing address
22 4TH ST, NEW BRITAIN, CT 06051-1722
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14145
CT
Other
Enumeration date
04/03/2023
Last updated
07/07/2024
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