Basic Information
Provider Information
NPI: 1326223728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMOO
FirstName: FRANCIS
MiddleName: KOFI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20 YORK STREET CB-2041
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 06510
CountryCode: US
TelephoneNumber: 2036884748
FaxNumber: 2036884740
Practice Location
Address1: 20 YORK STREET CB-2041
Address2: DE
City: NEW HAVEN
State: CT
PostalCode: 06510
CountryCode: US
TelephoneNumber: 2036884748
FaxNumber: 2036884740
Other Information
ProviderEnumerationDate: 01/03/2008
LastUpdateDate: 04/29/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X048632CTN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X048632CTY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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