MEDICARE: PRECIOUS NEKPEN OKUNBOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	79456	CT

General Provider Information

NPI Number	:	1255968178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRECIOUS NEKPEN OKUNBOR MD

Provider Business Mailing Address
First Line	:	1 NEW HAVEN AVE STE 101
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3398
Country	:	US
Telephone Number	:	203-877-5634
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 NEW HAVEN AVE STE 101
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3398
Country	:	US
Telephone Number	:	203-877-5634
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	05/22/2026

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