Obgyn Group Of Eastern Connecticut, P.C.

LBN: Obgyn Group Of Eastern Connecticut, P.C.
Obgyn Group Of Eastern Connecticut, P.C. is an health care organization with primary practice located at 2600 Tamarack Avenue Suite 200, South Windsor CT 06074-5560. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Obgyn Group Of Eastern Connecticut, P.C. can be contacted via phone (860) 646-1157, or through Riccitelli, Kelly via phone (860) 646-1157.

Contact Information

Primary practice address
2600 Tamarack Avenue Suite 200 South Windsor CT 06074-5560
Phone: (860) 646-1157
Fax: (860) 646-9877
Website:
Map and Directions
Authorized official contact:
Name: Riccitelli, Kelly
Phone: (860) 646-1157

Health care specialties

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

Profile Details

NPI number 1376756908
LBN Legal business name Obgyn Group Of Eastern Connecticut, P.C.
DBA Doing business as
Authorized official Riccitelli, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Jan 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376756908 NPPES
Connecticut MEDICAID 004394251

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