Individual
ISAAC OKYERE AMPOFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 MIDDLE TURNPIKE EAST, MANCHESTER, CT 06040-3571
(860) 649-6900
(860) 647-0469
Mailing address
629 MIDDLE TURNPIKE EAST, MANCHESTER, CT 06040-3731
(860) 649-6900
(860) 647-0469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08180668
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F08180668
AANP
CT
Enumeration date
08/28/2018
Last updated
01/14/2020
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