Individual
ADINA CHELOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
687 MAIN ST, BRANFORD, CT 06405-3612
(203) 488-8306
(203) 481-0267
Mailing address
28 FAIRGROUND RD, WOODBRIDGE, CT 06525-1535
(203) 387-4847
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
035874
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001358747
—
CT
Enumeration date
09/02/2005
Last updated
09/05/2014
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