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Individual

CORINNE E DE CHOLNOKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
166 W BROAD ST, SUITE 201, STAMFORD, CT 06902-3661
(203) 325-9710
(203) 325-0176
Mailing address
166 W BROAD ST, SUITE 201, STAMFORD, CT 06902-3661
(203) 325-9710
(203) 325-0176

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101032332
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
025249
CT
207V00000X
Obstetrics & Gynecology Physician
D0025131
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010025249CT01
ANTHEM BLUE CROSSBLUE SHI
CT
01
025249
CONNECTICARE
CT
01
061325219
UNITED HEALTHCARE
CT
05
160000738
CT
01
2080384
AETNA INSURANCE
CT
01
2V5971
HEALTHNET
CT
01
ZS008
OXFORD
CT
Enumeration date
09/12/2006
Last updated
06/24/2008
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