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NNEKA IFEOMA OGBUTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5520 PARK AVE # WP1-200, TRUMBULL, CT 06611-3463
(203) 666-3750
Mailing address
246 MARYLAND AVE, FREEPORT, NY 11520-1015

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80328
CT
208000000X
Pediatrics Physician
80328
CT

Other

Enumeration date
04/29/2020
Last updated
04/24/2025
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