NPI 1871946004 · live from the CMS NPI Registry
Iradat Abiodun Amusa, MD , MPH
Internal Medicine in Bridgeport, CT. National Provider Identifier 1871946004, active.
NPI record
| NPI | 1871946004 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2800 Main St, Bridgeport, CT 06606 |
| Practice phone | 203-545-4500 |
| Mailing address | 2900 Main St, Bridgeport, CT 06606 |
| Enumerated | July 23, 2016 |
| Last updated | December 6, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 321076 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.