Specialists In Women's Healthcare Pc

NPI 1114928827 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1114928827
Enumeration Date 08/03/2005
Last Updated 04/18/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN CONRAD JOHN
Position MD PRESIDENT
Phone (203) 754-2535
Fax (203) 754-0788
Practice Location
134 GRANDVIEW AVE
STE 210
WATERBURY CT, 06708-2507, US
Phone (203) 754-2535
Fax (203) 754-0788
Business Location
134 GRANDVIEW AVE
STE 210
WATERBURY CT, 06708-2507, US
Phone (203) 754-2535
Fax (203) 754-0788
Toxanomy
Taxonomy Code 367A00000X
License State
License Number
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According to our database, Specialists In Women's Healthcare Pc NPI is 1114928827, taxonomy code is 367A00000X Specialists In Women's Healthcare Pc physically located at 134 Grandview Ave, Waterbury CT, 06708-2507. NPI Number 1033115704 has the healthcare provider type.

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1114928827 NPI number is provided on an as is basis without warranty of any kind. 1114928827 is maintained by the National Plan & Provider Enumeration System. The contents of Specialists In Women's Healthcare Pc are for informational purposes only.