Individual
FRUKAN ILEAASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(959) 999-1090
Mailing address
24 TIMBER LN, NEWINGTON, CT 06111-3536
(959) 999-1090
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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