# HENRY S AMDUR MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1285804104
- **Authorized official:** HENRY S AMDUR M.D. (MANAGER)
- **Authorized official phone:** (860) 442-0383

## Contact information

- **Practice address:** 425 MONTAUK AVE, NEW LONDON, CT 06320-4642
- **Practice address phone:** (860) 442-0383
- **Practice address fax:** (860) 442-7266
- **Mailing address:** 425 MONTAUK AVE, NEW LONDON, CT 06320-4642
- **Mailing address phone:** (860) 442-0383
- **Mailing address fax:** (860) 442-7266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 03/06/2008