Provider Demographics
NPI:1154429884
Name:CENTER FOR FERTILITY AND WOMEN'S HEALTH, P.C.
Entity type:Organization
Organization Name:CENTER FOR FERTILITY AND WOMEN'S HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANZARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-224-5967
Mailing Address - Street 1:1 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1432
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 GRAND ST
Practice Address - Street 2:SUITE E-3
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-2016
Practice Address - Country:US
Practice Address - Phone:860-224-5467
Practice Address - Fax:860-224-5471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT14472394134OtherNPI DR. DANIELLE LUCIANO
CT1558350405OtherNPI DR. ANTHONY LUCIANO
CT0011711230Medicaid
CT1972592640OtherNPI DR. CHAFFKIN
CTF58167Medicare UPIN
CTC03285Medicare ID - Type UnspecifiedGROUP
CT0011711230Medicaid
CTI37097Medicare UPIN