Individual
DR. YAW AMOATENG ADJEPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-0246
(203) 384-3873
(203) 384-3829
Mailing address
PO BOX 5246, BRIDGEPORT, CT 06610-0246
(203) 384-3873
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036512
CT
208000000X
Pediatrics Physician
036512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365122
—
CT
Enumeration date
03/14/2006
Last updated
01/15/2019
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