GYNECOLOGIC CANCER CARE LLC NPI 1316354079

NPI Information

GYNECOLOGIC CANCER CARE, LLC is a gynecologic oncology obstetrics gynecology in Stamford, CT. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. GYNECOLOGIC CANCER CARE, LLC NPI is 1316354079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 HIGH RIDGE RD
#653
STAMFORD, CT
ZIP 06905-800
Phone: (203) 970-0100

The provider's authorized official is Karen Nishida .
The authorized official title is Medical Director and has the following contact phone number (203) 970-0100.

The CLIA number assigned to this NPI record is 07D2092087 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2014 and was last updated on 7/15/2014.

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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