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Individual

DR. NKEMAKONAM H IKEKPEAZU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
764 CAMPBELL AVE, WEST HAVEN, CT 06516-3786
(203) 937-8778
(203) 937-5712
Mailing address
764 CAMPBELL AVE STE B, WEST HAVEN, CT 06516-3786
(203) 937-8778
(203) 937-5712

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
037057
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001370577
CT
Enumeration date
08/25/2006
Last updated
02/17/2016
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