# NAUGATUCK VALLEY WOMENS HEALTH SPECIALISTS PC

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

## Provider details

- **NPI number:** 1164895314
- **Authorized official:** NADINE PENDARVIS MD (MEDICAL ASSISTNAT)
- **Authorized official phone:** (203) 575-1811

## Contact information

- **Practice address:** 686 STRAITS TURNPIKE, 2A, MIDDLEBURY, CT 06762
- **Practice address phone:** (203) 575-1811
- **Practice address fax:** (203) 575-1995
- **Mailing address:** 686 STRAITS TURNPIKE, 2A, MIDDLEBURY, CT 06762
- **Mailing address phone:** (203) 575-1811
- **Mailing address fax:** (203) 575-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 054319 | CT | Yes |

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 11/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004395514 | — | CT |
| 01 | — | CO1191 | MEDICARE | — |