Dr. Samuel Antwi-Boasiako, MD
Internal Medicine in Bridgeport, Connecticut
1700152063- Practice location
- 2800 Main St, Bridgeport, CT 06606-4201
- Phone
- 203-576-6000
- Fax
- —
- Last updated
- September 29, 2026
Samuel Antwi-Boasiako is an Internal Medicine based in Bridgeport, CT. Samuel Antwi-Boasiako practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Samuel Antwi-Boasiako is 1700152063 and holds a License No. MD26080 (ME). The current practice location address for Samuel Antwi-Boasiako is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 203-576-6000.
Provider Profile Details
- NPI Number
- 1700152063
- Provider Name
- Samuel Antwi-Boasiako
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2800 Main St, Bridgeport, CT 06606-4201
- Phone Number
- 203-576-6000
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2012
- Last Update Date
- September 29, 2026
- Certification Date
- March 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2800 Main St
Bridgeport, CT 06606-4201 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-4201
- Phone Number
- 203-576-6000
Provider Business Mailing Address Details
- Address
- 123 Medical Center Dr
Brunswick, ME 04011-2652 - City
- Brunswick
- State
- ME
- Zip
- 04011-2652
- Phone Number
- 207-661-2018
License Information
- License Number (1)
- MD26080
- License State (1)
- ME
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 53899
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Bridgeport, CT
View all Internal Medicine providers in Bridgeport →Frequently Asked Questions
What is the NPI number of Dr. Samuel Antwi-Boasiako, MD?
The NPI number of Dr. Samuel Antwi-Boasiako, MD is 1700152063. It was assigned on March 30, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Samuel Antwi-Boasiako, MD?
Dr. Samuel Antwi-Boasiako, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ME under license number MD26080.
Where does Dr. Samuel Antwi-Boasiako, MD practice?
The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 203-576-6000 (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 1700152063 directly on the NPPES registry website.