Individual
DR. UBONG JACKSON UDOYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 AUGUSTA DR, MILFORD, CT 06461-1683
(803) 269-7381
Mailing address
58 AUGUSTA DR, MILFORD, CT 06461-1683
(803) 269-7381
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
265463
NY
2084P0800X
Psychiatry Physician
Primary
50553
CT
2084P0802X
Addiction Psychiatry Physician
50553
CT
Other
Enumeration date
02/24/2009
Last updated
08/03/2015
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