Individual provider · Type 1 NPI

Frukan Ileaasu, MD

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1861294779 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1253

Call (959) 999-1090 Map

Mailing address

24 Timber Ln
Newington, CT 06111-3536

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861294779

Frukan Ileaasu, MD's National Provider Identifier is 1861294779, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Mar 24, 2025.