Individual
NNENNA C OGUNDIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PENDIN
CT
208M00000X
Hospitalist Physician
Primary
49235
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06753495
ECFMG
NY
Enumeration date
09/07/2010
Last updated
03/30/2016
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