Healthcare Provider Details

I. General information

NPI: 1972586592
Provider Name (Legal Business Name): MAUREEN ONUIGBO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W CENTRAL AVE FL 3
TOLEDO OH
43606-3834
US

IV. Provider business mailing address

80 PHOENIX AVE STE 201
WATERBURY CT
06702-1418
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-4290
  • Fax: 419-479-3263
Mailing address:
  • Phone: 203-756-8021
  • Fax: 203-596-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number068183
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: