| Organization Name: | ADVANCED GYNECOLOGY CONSULTANTS OF NEW ENGLAND, LLC |
| NPI Number: | 1003122011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD C ARCHIBOLD (OWNER) |
| Mailing Address: | 333 Pomfret St Putnam |
| State: | CT US |
| Postal Code: | 062601852 |
| Phone Number: | 8609630808 |
| Fax Number: | 8609286738 |
| NPI Enumeration Date: | 08/27/2010 |
| NPI Last Update Date: | 08/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |