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Organization
NAUGATUCK VALLEY WOMENS HEALTH SPECIALISTS PC
Active
Organization
NAUGATUCK VALLEY WOMENS HEALTH SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE PENDARVIS MD (MEDICAL ASSISTNAT)
(203) 575-1811
Entity
Organization
Contact information
Practice address
686 STRAITS TURNPIKE, 2A, MIDDLEBURY, CT 06762
(203) 575-1811
(203) 575-1995
Mailing address
686 STRAITS TURNPIKE, 2A, MIDDLEBURY, CT 06762
(203) 575-1811
(203) 575-1995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
054319
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004395514
—
CT
01
—
CO1191
MEDICARE
—
Enumeration date
11/10/2015
Last updated
11/10/2015
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