Individual
MS. KIMBERLY OFOEGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 SAND PIT RD STE 102, DANBURY, CT 06810-4010
(718) 920-8840
Mailing address
1 EAST HAYESTOWN RD. UNIT 20, DANBURY, CT 06811
(570) 977-1056
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
015809
NY
363AM0700X
Medical Physician Assistant
Primary
3657
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588913551
—
NY
Enumeration date
09/05/2012
Last updated
07/21/2022
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