Organization
GYNECOLOGIC CANCER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN NISHIDA M.D. (MEDICAL DIRECTOR)
(203) 970-0100
Entity
Organization
Contact information
Practice address
65 HIGH RIDGE RD, #653, STAMFORD, CT 06905-3800
(203) 970-0100
Mailing address
65 HIGH RIDGE ROAD, #653, STAMFORD, CT 06905
(203) 970-0100
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
052404
CT
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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