Organization
OBSTETRICS & GYNECOLOGY OF NORTH HAVEN, P.C.
Active
Parent organization
GENERATIONS OB/GYN
Other names
Generations OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATIONS OB/GYN
Authorized official
DR. CRAIG R HUTTLER M.D. (PRESIDENT)
(203) 248-4461
Entity
Organization
Contact information
Practice address
1435 CHAPEL ST, NEW HAVEN, CT 06511-8602
(203) 248-4461
(203) 288-6761
Mailing address
1435 CHAPEL ST, NEW HAVEN, CT 06511-8602
(203) 248-4461
(203) 288-6761
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710171939
MEDICARE NPI
CT
01
—
50JASISMDCT01
ANTHEM GROUP ID
CT
01
—
50OBSTGYNCT01
ANTHEM BLUE CROSS
CT
01
—
C01389
MEDICARE PTAN
CT
Enumeration date
05/02/2007
Last updated
01/24/2013
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