Her Transformation Obgyn

LBN: Her Transformation Obgyn, Pllc
Her Transformation Obgyn is an health care organization with primary practice located at 2228 Black Rock Tpke Ste 211 , Fairfield CT 06825-3237. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Her Transformation Obgyn, Pllc can be contacted via phone (475) 888-0099, or through Edusa, Valentine via phone (475) 888-0099.

Contact Information

Primary practice address
2228 Black Rock Tpke Ste 211 Fairfield CT 06825-3237
Phone: (475) 888-0099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edusa, Valentine MD, FACOG
Phone: (475) 888-0099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1104391598
LBN Legal business name Her Transformation Obgyn, Pllc
DBA Doing business as Her Transformation Obgyn
Authorized official Edusa, Valentine MD, FACOG
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated May 10th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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