IndividualActive
Ebenezer Kolade, M.D.
NPI 1376618611 · Addiction Medicine (Internal Medicine) Physician · Bridgeport, CT
Provider details
- NPI number
- 1376618611
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 040029 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4675 Main St
Bridgeport, CT 06606-1813
Phone: (203) 372-3333
Fax: (203) 374-7515
Approximate (ZIP-level) locationGet directions
Mailing address
4675 Main St
Bridgeport, CT 06606-1813
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.