Provider Demographics
NPI:1396755344
Name:OBSTETRICS MIDWIFERY AND GYNECOLOGY LLP
Entity type:Organization
Organization Name:OBSTETRICS MIDWIFERY AND GYNECOLOGY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-272-1688
Mailing Address - Street 1:416 HIGHLAND AVE
Mailing Address - Street 2:BLDG B
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2531
Mailing Address - Country:US
Mailing Address - Phone:203-272-1688
Mailing Address - Fax:203-272-2447
Practice Address - Street 1:416 HIGHLAND AVENUE
Practice Address - Street 2:BLDG B
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2531
Practice Address - Country:US
Practice Address - Phone:203-272-1688
Practice Address - Fax:203-272-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty