Individual
MARY G GUINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
388 WEST CENTER ST, MANCHESTER, CT 06040
(860) 649-1120
(860) 645-8541
Mailing address
388 WEST CENTER ST, MANCHESTER OBGYN ASSOC, MANCHESTER, CT 06040
(860) 645-6670
(860) 645-8541
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000227
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004224309
—
CT
Enumeration date
09/08/2006
Last updated
02/29/2012
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