Active NPIIndividual providerSole proprietor

Fatai O Obisesan

Registered Nurse in Stratford, Connecticut

NPI Number1609606029
Practice location
250 Boston Ave, Stratford, CT 06614-5211
Fax
—
Last updated
August 2, 2024

Fatai Olugbenga Obisesan is a Registered Nurse based in Stratford, CT. Fatai Olugbenga Obisesan practices in Stratford, CT. The NPI Number for Fatai Olugbenga Obisesan is 1609606029 and holds a License No. 832968 (NY). The current practice location address for Fatai Olugbenga Obisesan is 250 Boston Ave, Stratford, CT 06614-5211 and can be reached out via phone at 203-583-5596.

Provider Profile Details

NPI Number
1609606029
Provider Name
Fatai Olugbenga Obisesan
Provider Entity Type
Individual
Gender
Male
Address
250 Boston Ave, Stratford, CT 06614-5211
Phone Number
203-583-5596
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2024
Last Update Date
August 2, 2024
Certification Date
August 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Boston Ave
Stratford, CT 06614-5211
Zip
06614-5211
Phone Number
203-583-5596
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
250 Boston Ave
Stratford, CT 06614-5211
City
Stratford
State
CT
Zip
06614-5211
Phone Number
203-583-5596

License Information

License Number
832968
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Fatai O Obisesan?

The NPI number of Fatai O Obisesan is 1609606029. It was assigned on August 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Fatai O Obisesan?

Fatai O Obisesan is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 832968.

Where does Fatai O Obisesan practice?

The practice location is 250 Boston Ave, Stratford, CT 06614-5211. The office can be reached at 203-583-5596 (phone).

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 1609606029 directly on the NPPES registry website.

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