Olutayo Olukoya
Olutayo Olukoya is a Durable Medical Equipment & Medical Supplies in Bridgeport, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2016
Practice location Address checks out
3780 Main StBridgeport, CT 06606-3610
Phone: (203) 870-8987
Fax: (203) 870-8988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 1216892 (CT) |
|---|
Record details
| NPI number | 1619321528 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2016 |
| Last updated in NPPES | April 17, 2016 |
| Mailing address | 3780 Main St, Bridgeport, CT 06606-3610 |
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