Organization
OB-GYN PROFESSIONAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE E DE CHOLNOKY M.D. (PRESIDENT)
(203) 325-9710
Entity
Organization
Contact information
Practice address
166 W BROAD ST, SUITE 201, STAMFORD, CT 06902-3661
(203) 325-9710
(203) 325-0176
Mailing address
166 W BROAD ST, SUITE 201, STAMFORD, CT 06902-3661
(203) 325-9710
(203) 325-0176
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010025249CT01
ANTHEM
CT
01
—
025249
CONNECTICARE
CT
05
—
160000738
—
CT
01
—
2080384
AETNA
CT
01
—
2V5971
HEALTHNET
CT
01
—
ZS008
OXFORD
CT
Enumeration date
09/13/2006
Last updated
06/24/2008
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