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Individual

ADA K OBIDIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255876
NY
207R00000X
Internal Medicine Physician
Primary
53075
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03484631
NY
Enumeration date
08/22/2011
Last updated
06/16/2014
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