Adetola, Adedayo

Adetola, Adedayo is an individual health care provider with primary practice located at 1453 Whalley Ave , New Haven CT 06515-1153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adetola, Adedayo can be contacted via phone (203) 389-4111.

Contact Information

Primary practice address
1453 Whalley Ave New Haven CT 06515-1153
Phone: (203) 389-4111
Fax: (203) 889-4953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036356 Connecticut

Profile Details

NPI number 1861498685
LBN Legal business name Adetola, Adedayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861498685 NPPES
Connecticut MEDICAID 001363564
Connecticut Other 2326523

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