Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EBENEZER KOLADE, M.D.
Active Sole ProprietorDR. EBENEZER KOLADE, M.D. is a Addiction Medicine (Internal Medicine) healthcare provider located in BRIDGEPORT, Connecticut. NPI 1376618611 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1376618611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.762640653786 yrs)
- Last Updated
- Jul 1, 2024
- License
-
040029 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4675 MAIN STBRIDGEPORT, CT, 066061813Browse CT providers · Browse ZIP 06606
- Phone
- 2033723333
- Fax
- 2033747515
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.