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Organization
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP PC
Active
Organization
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM C FLETCHER MD (PRESIDENT/MANAGING PARTNER)
(203) 272-1811
Entity
Organization
Contact information
Practice address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
(203) 250-2162
Mailing address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
(203) 250-2162
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CT
367A00000X
Advanced Practice Midwife
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004045811
—
CT
05
—
004262846
—
CT
01
—
CM0873
MEDICARE RAILROAD
CT
Enumeration date
07/14/2005
Last updated
11/28/2011
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