Individual
NURUDEEN LUCKY OSUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2046
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81414
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
06/30/2025
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