Organization
CHRISTUS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN AMOBI NJOKU M.D. (PRESIDENT)
(860) 528-8200
Entity
Organization
Contact information
Practice address
587 BURNSIDE AVE, EAST HARTFORD, CT 06108-3537
(860) 528-8200
Mailing address
587 BURNSIDE AVE, EAST HARTFORD, CT 06108-3537
(860) 528-8200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243482
—
CT
Enumeration date
08/10/2007
Last updated
07/21/2022
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