Dr. Ebenezer Kolade, MD
Internal Medicine, Addiction Medicine in Bridgeport, Connecticut
1376618611- Practice location
- 4675 Main St, Bridgeport, CT 06606-1813
- Phone
- 203-372-3333
- Fax
- 203-374-7515
- Last updated
- July 1, 2024
Ebenezer Kolade is an Internal Medicine, Addiction Medicine based in Bridgeport, CT. Ebenezer Kolade practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Ebenezer Kolade is 1376618611 and holds a License No. 040029 (CT). The current practice location address for Ebenezer Kolade is 4675 Main St, Bridgeport, CT 06606-1813 and can be reached out via phone at 203-372-3333 and via fax at 203-374-7515.
Provider Profile Details
- NPI Number
- 1376618611
- Provider Name
- Ebenezer Kolade
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4675 Main St, Bridgeport, CT 06606-1813
- Phone Number
- 203-372-3333
- Fax Number
- 203-374-7515
- Primary Taxonomy
- Internal Medicine, Addiction Medicine · 207RA0401X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 22, 2006
- Last Update Date
- July 1, 2024
- Certification Date
- July 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4675 Main St
Bridgeport, CT 06606-1813 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-1813
- Phone Number
- 203-372-3333
- Fax Number
- 203-374-7515
Provider Business Mailing Address Details
- Address
- 4675 Main St
Bridgeport, CT 06606-1813 - City
- Bridgeport
- State
- CT
- Zip
- 06606-1813
- Phone Number
- 203-372-3333
- Fax Number
- 203-374-7515
License Information
- License Number
- 040029
- License State
- CT
- Taxonomy
- Internal Medicine, Addiction Medicine · 207RA0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ebenezer Kolade, MD?
The NPI number of Dr. Ebenezer Kolade, MD is 1376618611. It was assigned on November 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ebenezer Kolade, MD?
Dr. Ebenezer Kolade, MD is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X), licensed in CT under license number 040029.
Where does Dr. Ebenezer Kolade, MD practice?
The practice location is 4675 Main St, Bridgeport, CT 06606-1813. The office can be reached at 203-372-3333 (phone) or 203-374-7515 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376618611 directly on the NPPES registry website.