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SPECIALISTS IN WOMEN'S HEALTHCARE PC NPI 1114928827


NPI Information

NPI: 1114928827
Provider Name: SPECIALISTS IN WOMEN'S HEALTHCARE PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 07D0897733

Address:
134 GRANDVIEW AVE
STE 210
WATERBURY, CT
ZIP 06708
Phone: (203) 754-2535
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SPECIALISTS IN WOMEN'S HEALTHCARE PC is an obstetrics gynecology in Waterbury, CT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SPECIALISTS IN WOMEN'S HEALTHCARE PC NPI is 1114928827. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

134 GRANDVIEW AVE
STE 210
WATERBURY, CT
ZIP 06708-507
Phone: (203) 754-2535
Fax: (203) 754-0788

The provider's authorized official is John Conrad Kaczmarek .
The authorized official title is Md President and has the following contact phone number (203) 754-2535.

The CLIA number assigned to this NPI record is 07D0897733 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/3/2005 and was last updated on 4/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367A00000XAdvanced Practice MidwifeNo
2363LX0001XNurse PractitionerObstetrics & GynecologyNo
3207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004190310MEDICAIDCONNECTICUT
2C02361MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.