Active NPIIndividual provider

Olawale Ayeni, MD

Family Medicine in Colchester, Connecticut

NPI Number1619079621
Practice location
123 Broadway St, Colchester, CT 06415-1022
Fax
860-537-3208
Last updated
August 19, 2008

Olawale Ayeni is a Family Medicine based in Colchester, CT. Olawale Ayeni practices in Colchester, CT and has the professional credentials of MD. The NPI Number for Olawale Ayeni is 1619079621 and holds a License No. 041093 (CT). The current practice location address for Olawale Ayeni is 123 Broadway St, Colchester, CT 06415-1022 and can be reached out via phone at 860-537-3204 and via fax at 860-537-3208.

Provider Profile Details

NPI Number
1619079621
Provider Name
Olawale Ayeni
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Broadway St, Colchester, CT 06415-1022
Phone Number
860-537-3204
Fax Number
860-537-3208
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2006
Last Update Date
August 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Broadway St
Colchester, CT 06415-1022
Zip
06415-1022
Phone Number
860-537-3204
Fax Number
860-537-3208
Colchester, CT 06415Get directions →

Provider Business Mailing Address Details

Address
123 Broadway St
P.o. Box 288
Colchester, CT 06415-1022
City
Colchester
State
CT
Zip
06415-1022
Phone Number
860-537-3204
Fax Number
860-537-3208

License Information

License Number
041093
License State
CT
Taxonomy
Family Medicine · 207Q00000X · 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 Olawale Ayeni, MD?

The NPI number of Olawale Ayeni, MD is 1619079621. It was assigned on September 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Olawale Ayeni, MD?

Olawale Ayeni, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 041093.

Where does Olawale Ayeni, MD practice?

The practice location is 123 Broadway St, Colchester, CT 06415-1022. The office can be reached at 860-537-3204 (phone) or 860-537-3208 (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 1619079621 directly on the NPPES registry website.

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