Individual
GIDEON DWOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221191
CT
164W00000X
Licensed Practical Nurse
040075
CT
Other
Enumeration date
03/05/2018
Last updated
01/21/2025
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