| NPI | 1144549353 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PAVANI REDDY PINGLE Owner 860-313-1486  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 048077)  | 
| Enumeration Date | 2010-05-27 | 
| Last Update Date | 2019-04-11 |