| NPI | 1639103757 |
|---|---|
| Former Legal Business Name | BROOKSIDE GREENWICH OB/GYN ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH PURDY Office Manager 203-869-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-07-08 |