NPI 1063717775

Oluwole Olugbenga Jegede, MD

Practitioner Psychiatry Physician West Haven, CT

Practice location

Address: 184 Front Ave, West Haven, CT 06516-2836
Phone: (203) 781-4600
Fax: (203) 781-4624
Mailing address: 1 Long Wharf Dr STE 321, New Haven, CT 06511-5946

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 65093 (CT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063717775
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2011
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.