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Individual

DR. ADEBOLA ADELEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
512 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1882
Mailing address
512 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1882

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
945
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
945
CT
213ES0131X
Foot Surgery Podiatrist
945
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
945
STATE MD LICENSE
CT
Enumeration date
07/18/2012
Last updated
04/07/2017
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