Henry Steven Amdur, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · New London, CT
NPI 1700920022 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700920022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 027274 (CT)
- Practice address
- 425 Montauk Ave
New London, CT 06320-4642 - Phone
- (860) 442-0383
- Fax
- (860) 442-7266
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027274 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Health of Westerly, LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
Interoperability endpoints
- hamdur186858@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 027274 | CT | Yes |
Addresses
Primary practice location
425 Montauk Ave
New London, CT 06320-4642
Mailing address
425 Montauk Ave
New London, CT 06320-4642
Phone (860) 442-0383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NLP054 | Other | CT | OXFORD |
| 010027274CT01 | Other | CT | ANTHEM |
| 030626 | Other | CT | HEALTHNET |
Other providers in New London, CT
- Audrey A Allen
- John Allen
- Allergy Associates of New London, PC
- Rosa Jacqueline Almonte
- Janice F. Amato
- Rabab Ammar
- Jodi Anderson
- Linda Anderson
- Paulina Anderson
- Elijah Andrews
All providers in New London, CT · Obstetrics & Gynecology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.