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Organization
NEW BRITAIN OBSTETRICAL & GYNECOLOGICAL GROUP PC
Active
Organization
NEW BRITAIN OBSTETRICAL & GYNECOLOGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS L LILLO M.D. (PRESIDENT)
(860) 224-2447
Entity
Organization
Contact information
Practice address
40 HART ST, BLDG A, 2ND FLR, NEW BRITAIN, CT 06052-1743
(860) 224-2447
(860) 826-5845
Mailing address
40 HART ST, BLDG A, 2ND FLR, NEW BRITAIN, CT 06052-1743
(860) 224-2447
(860) 826-5845
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004393922
—
CT
Enumeration date
03/23/2007
Last updated
02/02/2015
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