Individual
DR. EBENEZER KOLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4675 MAIN ST, BRIDGEPORT, CT 06606-1813
(203) 372-3333
(203) 374-7515
Mailing address
4675 MAIN ST, BRIDGEPORT, CT 06606-1813
(203) 372-3333
(203) 374-7515
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
040029
CT
Other
Enumeration date
11/22/2006
Last updated
07/01/2024
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