MAYEDA GYNECOLOGY PLLC NPI 1629740071

NPI Information

MAYEDA GYNECOLOGY, PLLC is an obstetrics gynecology in Waterford, 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. MAYEDA GYNECOLOGY, PLLC NPI is 1629740071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 HARTFORD TPKE STE 206
WATERFORD, CT
ZIP 06385-276
Phone: (860) 442-1177
Fax: (860) 442-1181

The provider's authorized official is Logan Jean Rowley .
The authorized official title is Practice Manager and has the following contact phone number (860) 442-1177.

The CLIA number assigned to this NPI record is 07D2258969 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2021 and was last updated on 2/20/2024.

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:

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