Organization
ILLUME FERTILITY, PLLC
Active
Organization
ILLUME FERTILITY, PLLC
Active
Other names
Ambulatory Surgical Center at Reproductive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MANGIERI (CEO)
(203) 750-7400
Entity
Organization
Contact information
Practice address
761 MAIN AVE, SUITE 200, NORWALK, CT 06851-1080
(203) 750-7400
Mailing address
761 MAIN AVE, SUITE 200, NORWALK, CT 06851-1080
(203) 750-7400
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
0320
CT
Other
Enumeration date
07/01/2008
Last updated
04/04/2022
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