Organization
NAUGATUCK VALLEY WOMENS HEALTH SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE PENDARVIS MD (MEDICAL ASSISTNAT)
(203) 575-1811
Entity
Organization
Contact information
Practice address
686 STRAITS TURNPIKE, 2A, MIDDLEBURY, CT 06762
(203) 575-1811
(203) 575-1995
Mailing address
686 STRAITS TURNPIKE, 2A, MIDDLEBURY, CT 06762
(203) 575-1811
(203) 575-1995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
054319
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004395514
—
CT
01
—
CO1191
MEDICARE
—
Enumeration date
11/10/2015
Last updated
11/10/2015
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