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Physicians Obstetrics & Gynecology

Provider NPI: 1003882812

Organization Information:
Organization is Subpart
Authorized Official:  CARLOS  MARTINS  INTERIM PRESIDENT  413-523-0816

Practice Location:
Tel: 860-714-1325  Fax: 860-714-8078

Business Mailing Address:
1000 ASYLUM AVE STE 4309A  HARTFORD, CT 06105-1704 US
Tel: 860-714-1325  Fax: 860-714-8078

NPI Information:
NPI: 1003882812
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Physical Medicine & Rehabilitation
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207R00000X





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