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Organization
HER TRANSFORMATION OBGYN, PLLC
Active
Organization
HER TRANSFORMATION OBGYN, PLLC
Active
Other names
HER TRANSFORMATION OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE EDUSA MD, FACOG (FOUNDER/MANAGING MEMBER)
(475) 888-0099
Entity
Organization
Contact information
Practice address
2228 BLACK ROCK TPKE STE 211, FAIRFIELD, CT 06825-3237
(475) 888-0099
Mailing address
2228 BLACK ROCK TPKE STE 211, FAIRFIELD, CT 06825-3237
(475) 888-0099
(475) 888-0106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
05/10/2019
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