| NPI | 1083963391 |
|---|---|
| Doing Business As | SEASIDE OB-GYN OF MILFORD |
| Entity Type | Organization |
| Authorized Contact | LINDA EVANKO VP Of Network Services 203-876-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-09-04 |