Moyosore Omowumi Abimboye, M.D.
Internal Medicine, Geriatric Medicine in New Haven, CT. Individual provider (NPI-1).
NPI number1174935209
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1174935209
- Entity type
- Individual (NPI-1)
- Name
- Ms. Moyosore Omowumi Abimboye
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2014
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 56875 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
20 York StYnhh Geriatric Medicine
New Haven, CT 06510-3220
Phone 208-520-3688
Mailing address
20 York StYnhh Geriatric Medicine
New Haven, CT 06510-3220
Phone 203-688-4242
Other practice locations
462 Grider Street
Buffalo, NY 14215
Buffalo, NY 14215
Phone 905-303-7907
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