Individual
FAUSTINUS C ONYIRIMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 NAEK RD, SUITE 2, VERNON, CT 06066-3942
(860) 875-2444
Mailing address
27 NAEK ROAD, SUITE 2, VERNON, CT 06066
(860) 875-2444
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036324
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001363241
—
CT
Enumeration date
05/25/2006
Last updated
02/03/2014
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