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Olutayo Olukoya
Durable Medical Equipment & Medical Supplies in Bridgeport, Connecticut
NPI 1619321528

Olutayo Olukoya is a Durable Medical Equipment & Medical Supplies based in Bridgeport, CT. Olutayo Olukoya practices in Bridgeport, CT. The NPI Number for Olutayo Olukoya is 1619321528 and holds a License No. 1216892 (Connecticut).

The current practice location address for Olutayo Olukoya is 3780 Main St, Bridgeport, CT and can be reached out via phone at 203-870-8987 and via fax at 203-870-8988. You can also correspond with Olutayo Olukoya through the mailing address at 3780 MAIN ST, BRIDGEPORT, CT - 06606-3610 (mailing address contact number: 203-870-8987).

Location: 3780 Main St, Bridgeport, CT, 06606-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619321528
Provider Name
Olutayo Olukoya
Credential
Provider Entity Type
Individual
Gender
Male
Address
3780 Main St, Bridgeport, CT, 06606-3610
Phone Number
203-870-8987
Fax Number
203-870-8988
Provider Enumeration Date
04/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3780 Main St
City
Bridgeport
State
Connecticut
Zip
06606-3610
Phone Number
203-870-8987
Fax Number
203-870-8988
person
Provider Business Mailing Address Details
Address
3780 Main St
City
Bridgeport
State
Connecticut
Zip
06606-3610
Phone Number
203-870-8987
Fax Number
203-870-8988
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1216892 (Connecticut)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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