# COASTAL OBSTETRICS AND GYNECOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Obstetrics '&' Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679842611
- **Authorized official:** ROBERT J GENNARO MD (PRESIDENT)
- **Authorized official phone:** (203) 353-9099

## Contact information

- **Practice address:** 999 SUMMER ST STE 401, STAMFORD, CT 06905-5513
- **Practice address phone:** (203) 353-9099
- **Practice address fax:** (203) 353-9699
- **Mailing address:** 999 SUMMER ST STE 401, STAMFORD, CT 06905-5513
- **Mailing address phone:** (203) 353-9099
- **Mailing address fax:** (203) 353-9699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 028989 | CT | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | CT | Yes |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 07/21/2022