HER WELLNESS HEALTH CENTER LLC NPI 1396268405

NPI Information

HER WELLNESS HEALTH CENTER LLC is an obstetrics gynecology in Wilton, 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. HER WELLNESS HEALTH CENTER LLC NPI is 1396268405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 OLD RIDGEFIELD RD
WILTON, CT
ZIP 06897-018
Phone: (203) 665-0900
Fax: (203) 665-0899

The provider's authorized official is Kikelomo Otuyelu-garritano .
The authorized official title is Physician and has the following contact phone number (914) 523-3469.

The CLIA number assigned to this NPI record is 07D2134713 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 7/21/2022.

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:

Other Identifiers

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