Basic Information
Provider Information
NPI: 1326248980
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OHENE-ADJEI
FirstName: RITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 85 GLEN RIDGE RD
Address2:  
City: HAMDEN
State: CT
PostalCode: 065185359
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: GAYLORD HOSPITAL
Address2: GAYLORD FARM RD
City: WALLINGFORD
State: CT
PostalCode: 06492
CountryCode: US
TelephoneNumber: 2032842800
FaxNumber: 2036793598
Other Information
ProviderEnumerationDate: 07/23/2007
LastUpdateDate: 09/02/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X044941CTY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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