Organization Name: | REPRODUCTIVE MEDICINE ASSOCIATES OF CONNECTICUT PC |
NPI Number: | 1013179902 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE RAVECH (VP, MANAGED CARE CONTRACTING) |
Mailing Address: | 761 Main Ave Suite 200 Norwalk |
State: | CT US |
Postal Code: | 068511080 |
Phone Number: | 2037507400 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2008 |
NPI Last Update Date: | 01/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 0320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |