Jefferson Ebube, MD
Family Medicine in Wethersfield, Connecticut
1871235986- Practice location
- 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223
- Phone
- 860-696-2400
- Fax
- 860-696-2415
- Last updated
- June 10, 2026
Jefferson Ebube is a Family Medicine based in Wethersfield, CT. Jefferson Ebube practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Jefferson Ebube is 1871235986 and holds a License No. 83768 (CT). The current practice location address for Jefferson Ebube is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 and can be reached out via phone at 860-696-2400 and via fax at 860-696-2415.
Provider Profile Details
- NPI Number
- 1871235986
- Provider Name
- Jefferson Ebube
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223
- Phone Number
- 860-696-2400
- Fax Number
- 860-696-2415
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2022
- Last Update Date
- June 10, 2026
- Certification Date
- June 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1025 Silas Deane Hwy
Wethersfield, CT 06109-4223 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4223
- Phone Number
- 860-696-2400
- Fax Number
- 860-696-2415
Provider Business Mailing Address Details
- Address
- 1025 Silas Deane Hwy
Wethersfield, CT 06109-4223 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4223
- Phone Number
- 860-696-2400
- Fax Number
- 860-696-2415
License Information
- License Number
- 83768
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Wethersfield, CT
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Frequently Asked Questions
What is the NPI number of Jefferson Ebube, MD?
The NPI number of Jefferson Ebube, MD is 1871235986. It was assigned on April 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Jefferson Ebube, MD?
Jefferson Ebube, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 83768.
Where does Jefferson Ebube, MD practice?
The practice location is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223. The office can be reached at 860-696-2400 (phone) or 860-696-2415 (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 1871235986 directly on the NPPES registry website.