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Organization

ROBERT SPITZ MD, DBA MONTAUK GYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERRILYN MCNATT APRN (APRN)
(860) 442-9646
Entity
Organization

Contact information

Practice address
342 MONTAUK AVE, NEW LONDON, CT 06320-4706
(860) 442-9646
(860) 439-0747
Mailing address
342 MONTAUK AVE, NEW LONDON, CT 06320-4706
(860) 442-9646
(860) 439-0747

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
001821
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004216356
CT
Enumeration date
01/26/2007
Last updated
06/19/2008
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