Organization Active NPI

Southern Connecticut Womens Health Care Associates

  • Obstetrics & Gynecology Physician
  • Milford, CT
National Provider Identifier
1861691362
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHERN CONNECTICUT WOMENS HEALTH CARE ASSOCIATES
Practice address
247 Broad St
Milford, CT 06460-3267
Phone
(203) 783-0543
Fax
(203) 874-5728
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Yoram Lirtzman
Title
Office Manager
Phone
(203) 783-0543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X CT Primary

Addresses

Primary practice location

247 Broad St
Milford, CT 06460-3267

Mailing address

247 Broad Street
Milford, CT 06460
Phone (203) 783-0543

Other identifiers 1

IdentifierTypeStateIssuer
004237112MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1861691362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BROAD STREET",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-783-0543",
            "fax_number": "203-874-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603267",
            "telephone_number": "203-783-0543",
            "fax_number": "203-874-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CONNECTICUT WOMENS HEALTH CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "LIRTZMAN",
        "authorized_official_first_name": "YORAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-783-0543"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004237112",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.