Individual
LUZ EVELYN OMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
64 BLACK ROCK AVE, BRIDGEPORT, CT 06605-1200
(203) 579-5000
(203) 579-5113
Mailing address
64 BLACK ROCK AVE, BRIDGEPORT, CT 06605-1200
(203) 579-5000
(203) 579-5113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52250
CT
208000000X
Pediatrics Physician
52250
CT
Other
Enumeration date
05/01/2009
Last updated
07/30/2013
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