| NPI | 1679842611 |
|---|---|
| Former Legal Business Name | COASTAL OBSTETRICS '&' GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT J GENNARO President 203-353-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 028989) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2022-07-21 |