Individual
DR. HENRY STEVEN AMDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 MONTAUK AVE, NEW LONDON, CT 06320-4642
(860) 442-0383
(860) 442-7266
Mailing address
425 MONTAUK AVE, NEW LONDON, CT 06320-4642
(860) 442-0383
(860) 442-7266
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
027274
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010027274CT01
ANTHEM
CT
01
—
030626
HEALTHNET
CT
01
—
NLP054
OXFORD
CT
Enumeration date
02/19/2007
Last updated
07/08/2007
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