Organization
AVERY CENTER FOR OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS SIVAK MD (CEO)
(203) 227-5125
Entity
Organization
Contact information
Practice address
12 AVERY PL, WESTPORT, CT 06880-3223
(203) 227-5125
(203) 222-7180
Mailing address
12 AVERY PL, WESTPORT, CT 06880-3223
(203) 227-5125
(203) 222-7180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02400
SHELLEY GIBSON
CT
Enumeration date
11/29/2006
Last updated
01/19/2012
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