Doctor Name: | LISA DISHONGH |
NPI Number: | 1912001900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 030488 |
Business Practice Address: | 190 W Broad St Ste G401 Whittingham Pavilion Stamford, CT - 069023633 |
Business Phone Number: | 2033254321 |
Business Fax Number: | 2039757515 |
Mailing Address: | 190 W Broad St, Ste G401 Whittingham Pavilion STAMFORD |
State: | CT |
Postal Code: | 069023633 |
Phone Number: | 2033254321 |
Fax Number: | 2039757515 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 030488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |