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NSISONGIKANABASI MFON UDOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102-8000
(860) 972-0549
(860) 545-5221
Mailing address
6425 S LOWE AVE APT 513, CHICAGO, IL 60621-2726
(773) 251-3585

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76284
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/11/2020
Last updated
11/14/2023
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