Individual
MORENIKEJI AYODELE BURAIMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 BIRDSEYE RD, FARMINGTON, CT 06032-2444
(860) 247-3279
Mailing address
195 STEELE RD, WEST HARTFORD, CT 06119-1050
(617) 281-4340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69859
CT
207X00000X
Orthopaedic Surgery Physician
D85694
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
69859
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
D85694
MD
Other
Enumeration date
06/15/2012
Last updated
01/09/2025
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