Organization
UROGYNECOLOGY AND PELVIC SUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HINES MD (DIRECTOR)
(203) 391-6620
Entity
Organization
Contact information
Practice address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 391-6620
(203) 391-6624
Mailing address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 391-6620
(203) 391-6624
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
040272
CT
Other
Enumeration date
10/10/2006
Last updated
04/25/2008
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