Individual
DR. OLUBUNMI IRENE OTOLORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK STREET, CB-2041, NORTHEAST MEDICAL GROUP, INC, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, CB-2041, NEW HAVEN, CT 06504-8900
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
044331
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044331
PHYSICIAN LICENSE NUMBER
CT
01
—
39268
CT CSR
CT
Enumeration date
12/06/2006
Last updated
03/07/2023
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