Individual
JESSICA ADEFUSIKA OLAYANJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
732 MAIN ST, MANCHESTER, CT 06040-5106
(860) 649-5177
(860) 643-4901
Mailing address
732 MAIN ST, MANCHESTER, CT 06040-5106
(860) 649-5177
(860) 643-4901
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
61117
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008081331
—
CT
Enumeration date
05/08/2014
Last updated
09/21/2018
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