Individual
JEFFERSON EBUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4223
(860) 696-2400
(860) 696-2415
Mailing address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4223
(860) 696-2400
(860) 696-2415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12722800
NJ
207Q00000X
Family Medicine Physician
Primary
83768
CT
Other
Enumeration date
04/09/2022
Last updated
06/10/2026
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