Organization
CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE S FLAGG M.D. (OWNER)
(860) 344-9993
Entity
Organization
Contact information
Practice address
49 CRESCENT STREET, MIDDLETOWN, CT 06457-3601
(860) 344-9993
(860) 344-9844
Mailing address
49 CRESCENT STREET, MIDDLETOWN, CT 06457-3601
(860) 344-9993
(860) 344-9844
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
025189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004089729
—
CT
Enumeration date
01/04/2011
Last updated
01/05/2011
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