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ADVANCED OBGYN CARE NPI 1164643508


NPI Information

NPI: 1164643508
Provider Name: ADVANCED OBGYN CARE
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
35 NOD RD STE 201B
AVON, CT
ZIP 06001
Phone: (860) 409-1930
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ADVANCED OBGYN CARE is a gynecology obstetrics gynecology in Avon, CT. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee ADVANCED OBGYN CARE NPI is 1164643508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 NOD RD STE 201B
AVON, CT
ZIP 06001-826
Phone: (860) 409-1930

The provider's authorized official is Iacob Marcovici .
The authorized official title is President and has the following contact phone number (860) 409-1930.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/4/2007.


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
1207VG0400XObstetrics & GynecologyGynecology041940CONNECTICUTYes

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: 4/28/2024

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