Individual
DR. UDEME D EKONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 785-4649
(203) 785-3365
Mailing address
PO BOX 208064, DEPT OF PEDIATRIC GASTROENTEROLOGY RM 4093, NEW HAVEN, CT 06520-8064
(203) 785-4649
(203) 785-3365
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
036110223
IL
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
051529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110223
—
IL
Enumeration date
03/18/2006
Last updated
01/07/2013
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