NPI 1619079621 · live from the CMS NPI Registry
Olawale Ayeni, MD
Family Medicine in Colchester, CT. National Provider Identifier 1619079621, active.
NPI record
| NPI | 1619079621 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 123 Broadway St, Colchester, CT 06415 |
| Practice phone | 860-537-3204 |
| Mailing address | 123 Broadway St, P.O. Box 288, Colchester, CT 06415 |
| Enumerated | September 1, 2006 |
| Last updated | August 19, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 041093 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.