Organization
COUNTY OBSTETRICS AND GYNECOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA D'AMICO MHA (ADMINISTRATOR)
(203) 315-7071
Entity
Organization
Contact information
Practice address
687 MAIN ST, BRANFORD, CT 06405-3612
(203) 488-8306
(203) 481-0267
Mailing address
687 MAIN ST, BRANFORD, CT 06405-3612
(203) 488-8306
(203) 481-0267
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004141264
—
CT
Enumeration date
09/06/2005
Last updated
04/08/2009
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