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Individual

DR. SAMUEL ANTWI-BOASIAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 661-2018

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53899
CT
207R00000X
Internal Medicine Physician
MD26080
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53899
LICENSE
CT
Enumeration date
03/30/2012
Last updated
03/16/2026
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