Organization
RIVERSIDE OBSTETRICS & GYNECOLOGY
Active
Other names
Riverside OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL TURK M.D. (PRESIDENT)
(203) 637-3337
Entity
Organization
Contact information
Practice address
1200 E PUTNAM AVE, RIVERSIDE, CT 06878-1430
(203) 637-3337
(203) 637-3307
Mailing address
1200 E PUTNAM AVE, RIVERSIDE, CT 06878-1430
(203) 637-3337
(203) 637-3307
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
038686
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004246569
—
CT
Enumeration date
12/19/2006
Last updated
01/09/2014
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