Individual
KWAME S. AMANKWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-8080
(860) 679-1430
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-8080
(860) 679-1430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
232988
NY
2086S0129X
Vascular Surgery Physician
Primary
040506
CT
2086S0129X
Vascular Surgery Physician
232988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02585739
—
NY
Enumeration date
05/08/2006
Last updated
09/26/2022
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