Organization
CONNECTICUT CHILDBIRTH CENTER INC
Active
Other names
Connecticut Childbirth & Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PAUL BLAU MD (OWNER)
(203) 748-6000
Entity
Organization
Contact information
Practice address
94 LOCUST AVE, DANBURY, CT 06810-6032
(203) 748-6000
(203) 748-6771
Mailing address
94 LOCUST AVE, DANBURY, CT 06810-6032
(203) 748-6000
(203) 748-6771
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000111
LICENSE
CT
01
—
000245
LICENSE
CT
01
—
000278
LICENSE
CT
Enumeration date
04/11/2007
Last updated
08/19/2022
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