Individual
DR. CHARLES EKANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 SILVER LN APT B12, EAST HARTFORD, CT 06118-1007
(860) 597-9371
Mailing address
9 HILLDALE ROAD, WEST HARTFORD, CT 06117
(860) 597-9371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000000
ZZ
208M00000X
Hospitalist Physician
Primary
50779
CT
Other
Enumeration date
01/14/2011
Last updated
05/25/2017
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