Individual
OLAWALE AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 BROADWAY ST, COLCHESTER, CT 06415-1022
(860) 537-3204
(860) 537-3208
Mailing address
123 BROADWAY ST, P.O. BOX 288, COLCHESTER, CT 06415-1022
(860) 537-3204
(860) 537-3208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041093
CT
Other
Enumeration date
09/01/2006
Last updated
08/19/2008
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