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CONNECTICUT OBGYN NPI 1710954961


NPI Information

NPI: 1710954961
Provider Name: CONNECTICUT OBGYN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 07D2119140

Address:
580 BURNSIDE AVE
STE 4
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 761-1234
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CONNECTICUT OBGYN is an obstetrics gynecology in East Hartford, 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. CONNECTICUT OBGYN NPI is 1710954961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

580 BURNSIDE AVE
STE 4
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 761-1234
Fax: (860) 528-2341

The provider's authorized official is Paresh Limaye .
The authorized official title is President and has the following contact phone number (860) 761-1234.

The CLIA number assigned to this NPI record is 07D2119140 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 8/22/2020.


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
1207V00000XObstetrics & Gynecology036874CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12619324OTHERCONNECTICUTAETNA
2010036874CT02OTHERCONNECTICUTBLUE CROSS BLUE SHIELD
3189162OTHERCONNECTICUTMEDICAID HMO
400136874601OTHERCONNECTICUTMEDICAID HMO
50368745121OTHERCONNECTICARE
60371247003OTHERSIGNA
7P1278544OTHEROXFORD
80V9709OTHERHEALTH NET

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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