Individual
OBINNA I MADUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
387 TUCKIE RD STE C, NORTH WINDHAM, CT 06256-1355
(860) 456-1279
(860) 456-1298
Mailing address
387 TUCKIE RD STE C, NORTH WINDHAM, CT 06256-1355
(860) 456-1279
(860) 456-1298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037518
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001375189
—
CT
Enumeration date
11/02/2006
Last updated
07/08/2007
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