# UROGYNECOLOGY AND PELVIC SUR

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

## Provider details

- **NPI number:** 1972691855
- **Authorized official:** BRIAN HINES MD (DIRECTOR)
- **Authorized official phone:** (203) 391-6620

## Contact information

- **Practice address:** 1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
- **Practice address phone:** (203) 391-6620
- **Practice address fax:** (203) 391-6624
- **Mailing address:** 1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
- **Mailing address phone:** (203) 391-6620
- **Mailing address fax:** (203) 391-6624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 040272 | CT | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 04/25/2008