Organization
ILLUME FERTILITY, PLLC
Active
Organization
ILLUME FERTILITY, PLLC
Active
Other names
REPRODUCTIVE MEDICINE ASSOCIATES OF CONNECTICUT, PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MANGIERI (CEO)
(203) 912-3137
Entity
Organization
Contact information
Practice address
761 MAIN AVE, SUITE 200, NORWALK, CT 06851-1080
(203) 750-7400
(203) 846-9579
Mailing address
761 MAIN AVE, SUITE 200, NORWALK, CT 06851-1080
(203) 750-7400
(203) 846-9579
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753059794
TAX IDENTIFICATION NUMBER
CT
Enumeration date
11/07/2006
Last updated
03/01/2022
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