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Organization

IRIS WERTHEIM M.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRIS WERTHEIM M.D. (OWNER/PRESIDENT)
(203) 653-5080
Entity
Organization

Contact information

Practice address
32 STRAWBERRY HILL CT, SUITE 41052, STAMFORD, CT 06902-2594
(203) 653-5080
Mailing address
32 STRAWBERRY HILL CT, SUITE 41052, STAMFORD, CT 06902-2594
(203) 653-5080

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
039006
CT
207VX0201X
Gynecologic Oncology Physician
202735-1
NY

Other

Enumeration date
05/08/2006
Last updated
01/29/2008
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