OB-GYN PROFESSIONAL ASSOCIATES PC NPI 1013011543

NPI Information

OB-GYN PROFESSIONAL ASSOCIATES PC is an obstetrics gynecology in Stamford, 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. OB-GYN PROFESSIONAL ASSOCIATES PC NPI is 1013011543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

166 W BROAD ST
SUITE 201
STAMFORD, CT
ZIP 06902-661
Phone: (203) 325-9710
Fax: (203) 325-0176

The provider's authorized official is Corinne E De Cholnoky .
The authorized official title is President and has the following contact phone number (203) 325-9710.

The CLIA number assigned to this NPI record is 07D0102314 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2006 and was last updated on 6/24/2008.

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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