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General NPI Number Information
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NPI Number | 1659830891
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Entity Type | Individual
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Provider Name | OLIVETTA URADU MD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 109 CENTER ST UNIT 4-1
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City | EAST HAVEN
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State | CT
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Zip | 06513-1636
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Country | US
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Telephone | 475-355-7881
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Fax | 888-456-7356
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Provider Business Mailing Address
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Address Line | 300 GEORGE ST STE 901
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City | NEW HAVEN
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State | CT
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Zip | 06511-6662
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Country | US
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Telephone | 203-785-2095
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 68825
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License Number State | CT
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