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Organization
HARBORPARK OBSTETRICS AND GYNECOLOGY, LLC
Active
Organization
HARBORPARK OBSTETRICS AND GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY A. BYRD MD (MEMBER)
(860) 852-0008
Entity
Organization
Contact information
Practice address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 852-0008
(860) 852-0011
Mailing address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 852-0008
(860) 852-0011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
039292
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001392927-02
BLUE CARE FAMILY PLAN
CT
01
—
010039292CT04
ANTHEM
CT
01
—
039292
CONNECTICARE
—
01
—
2V4200
HEALTHNET
—
01
—
3390202
AETNA
CT
Enumeration date
09/29/2006
Last updated
05/19/2022
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