Organization
WINDHAM PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBINNA I MADUKA MD (OWNER)
(860) 456-1279
Entity
Organization
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
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
037518
CT
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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