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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