Individual
DR. ROSEMARY IJEOMA MADUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 POMFRET ST, PUTNAM, CT 06260-3803
(860) 928-2736
Mailing address
3 FARM GLEN BLVD, FARMINGTON, CT 06032-1981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039235
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356374508
NPI
—
Enumeration date
07/09/2006
Last updated
10/06/2023
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