Individual
OSARUGUE OTASOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(475) 247-5306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
008983
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
008983
CT
Other
Enumeration date
01/06/2021
Last updated
04/26/2021
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