Individual
ADESUWA OSAGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 DURANT AVE, BETHEL, CT 06801-1906
(203) 794-9500
Mailing address
7 DURANT AVE, BETHEL, CT 06801-1906
(203) 794-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8580
CT
Other
Enumeration date
03/05/2020
Last updated
12/26/2024
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