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Tizita Fekredengel
NPI 1477735223 · on the registry since 2007
Practice
- Address
- 982 E Main St
Bridgeport, CT 06608 - Phone
- (203) 696-3260
- Organisation at this address
- Optimus Healthcare
Optimus Health Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X
183500000X - Licence states on file
- NY, CA, MN, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut