Individual
ADEDAYO ADETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1453 WHALLEY AVE, NEW HAVEN, CT 06515-1153
(203) 389-4111
(203) 889-4953
Mailing address
1453 WHALLEY AVENUE, NEW HAVEN, CT 06516
(203) 389-4111
(203) 889-4953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036356
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001363564
—
CT
01
—
2326523
AETNA
CT
Enumeration date
06/27/2005
Last updated
05/26/2021
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