Advanced Gynecology Consultants Of New England, LLC
Obstetrics & Gynecology, Gynecology in Putnam, CT. Organization (NPI-2).
NPI number1003122011
StatusActive
Last updated in NPPESAug 27, 2010
Details
- NPI
- 1003122011
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Gynecology Consultants Of New England, LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2010
- Last updated
- Aug 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 036115 | CT | Yes |
Practice location
333 Pomfret StPutnam, CT 06260-1852
Phone 860-963-0808 · Fax 860-928-6738
Mailing address
Po Box 569Putnam, CT 06260-0569
Phone 860-963-0808 · Fax 860-928-6738
Authorized official
Ronald C Archibold
Owner
8609630808
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