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Organization

EKB CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMMANUEL KENTA-BIBI M.D. (SOLE PROPRIETOR)
(203) 901-2890
Entity
Organization

Contact information

Practice address
328 COMMONWEALTH AVE, NEW BRITAIN, CT 06053-2408
(203) 901-2890
(855) 885-4079
Mailing address
PO BOX 2009, SHELTON, CT 06484-1009
(203) 901-2890
(855) 885-4079

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047740
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710136795
NPI
CT
Enumeration date
02/06/2014
Last updated
03/14/2014
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