East West OBGYN

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

EAST WEST OBGYN

Practice address

836 Farmington Ave. S. 211
West Hartford, CT 06119

Phone

(860) 561-3557

Fax

(860) 523-0454

NPI assigned

Jul 9, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marco Morel, MD

Title

Owner

Phone

(860) 561-3557

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahmood Reza Vaezzadeh, M.D.

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
  • NPI 1710134341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1356606123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE. S. 211",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06119",
            "telephone_number": "860-561-3557",
            "fax_number": "860-523-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE. S. 211",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06119",
            "telephone_number": "860-561-3557",
            "fax_number": "860-523-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MOREL",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-561-3557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Dusza, LPC
• Christopher J Dutton, LCSW
• Olivia Duval
• Donna Dzubin, APRN
• Early Childhood Service - American School for the Deaf
• Eastern Rehabilitation Network
• Eastern Rehabilitation Network
• Desmond Walter Ebanks, MD
• Eclipse Counseling LLC
• Katie Eddins, M.S., CCC-SLP

• Gynecology Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.