Provider Demographics
NPI:1043560287
Name:ADUSEI, MICHAEL KOFI (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KOFI
Last Name:ADUSEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL PLZ
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3602
Mailing Address - Country:US
Mailing Address - Phone:203-276-7111
Mailing Address - Fax:203-276-7081
Practice Address - Street 1:30 SHELBURNE RD
Practice Address - Street 2:STAMFORD HOSPITAL
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902
Practice Address - Country:US
Practice Address - Phone:203-276-1000
Practice Address - Fax:203-276-7081
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1718982084P0800X
CT0513792084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY932129752OtherGHI