# OB-GYN PROFESSIONAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013011543
- **Authorized official:** DR. CORINNE E DE CHOLNOKY M.D. (PRESIDENT)
- **Authorized official phone:** (203) 325-9710

## Contact information

- **Practice address:** 166 W BROAD ST, SUITE 201, STAMFORD, CT 06902-3661
- **Practice address phone:** (203) 325-9710
- **Practice address fax:** (203) 325-0176
- **Mailing address:** 166 W BROAD ST, SUITE 201, STAMFORD, CT 06902-3661
- **Mailing address phone:** (203) 325-9710
- **Mailing address fax:** (203) 325-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010025249CT01 | ANTHEM | CT |
| 01 | — | 025249 | CONNECTICARE | CT |
| 05 | — | 160000738 | — | CT |
| 01 | — | 2080384 | AETNA | CT |
| 01 | — | 2V5971 | HEALTHNET | CT |
| 01 | — | ZS008 | OXFORD | CT |