Individual
MAYOWA ABIOLA ADEFUYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
267 GRANT STREET, MED ED PODIUM 4, BRIDGEPORT, CT 06610
(203) 384-4442
Mailing address
267 GRANT STREET, MED ED PODIUM 4, BRIDGEPORT, CT 06610
(203) 384-4442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
09/11/2023
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