Organization
HER TRANSFORMATION OBGYN, PLLC
Active
Other names
HER TRANSFORMATION OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE EDUSA MD, FACOG (FOUNDER/MANAGING MEMBER)
(475) 888-0099
Entity
Organization
Contact information
Practice address
2228 BLACK ROCK TPKE STE 211, FAIRFIELD, CT 06825-3237
(475) 888-0099
Mailing address
2228 BLACK ROCK TPKE STE 211, FAIRFIELD, CT 06825-3237
(475) 888-0099
(475) 888-0106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
05/10/2019
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