Organization
ADVANCED GYNECOLOGY CONSULTANTS OF NEW ENGLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C ARCHIBOLD MD (OWNER)
(860) 963-0808
Entity
Organization
Contact information
Practice address
333 POMFRET ST, PUTNAM, CT 06260-1852
(860) 963-0808
(860) 928-6738
Mailing address
PO BOX 569, PUTNAM, CT 06260-0569
(860) 963-0808
(860) 928-6738
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036115
CT
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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