# HARBORPARK OBSTETRICS AND GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1861584716
- **Authorized official:** BEVERLY A. BYRD MD (MEMBER)
- **Authorized official phone:** (860) 852-0008

## Contact information

- **Practice address:** 90 S MAIN ST, MIDDLETOWN, CT 06457-3649
- **Practice address phone:** (860) 852-0008
- **Practice address fax:** (860) 852-0011
- **Mailing address:** 90 S MAIN ST, MIDDLETOWN, CT 06457-3649
- **Mailing address phone:** (860) 852-0008
- **Mailing address fax:** (860) 852-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 039292 | CT | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 05/19/2022

## 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 |