Individual
DR. OLUSEGUN A APOESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ABRAHAMS BOULEVARD, HEBREW HOME HOSPITAL, WEST HARTFORD, CT 06117-3949
(860) 523-3800
(860) 523-3949
Mailing address
1 ABRAHAMS BOULEVARD, HEBREW HOME HOSPITAL, WEST HARTFORD, CT 06117-3949
(860) 523-3854
(860) 523-3828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036837
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036837
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001368374
—
CT
01
—
010036837C701
BC
CT
Enumeration date
11/15/2005
Last updated
06/26/2008
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