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Individual

DR. ANTHONY ODUJE ISEDEH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06514-3220
(203) 688-4748
(203) 688-4740
Mailing address
201 LYONS AVE, NEWARK, NJ 07011
(973) 926-7000

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
25MA09458100
NJ
208M00000X
Hospitalist Physician
Primary
62045
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639445539
NPI
VA
05
1639445539
VA
Enumeration date
03/26/2012
Last updated
03/07/2023
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