Individual
DR. FREDA OWUSUA BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4677
(203) 384-3135
Mailing address
850 MIX AVE, HAMDEN, CT 06514-2102
(203) 281-3500
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045811
CT
208000000X
Pediatrics Physician
045811
CT
208M00000X
Hospitalist Physician
045811
CT
Other
Enumeration date
10/10/2007
Last updated
12/22/2021
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