Active NPI
Southern Connecticut Womens Health Care Associates
- Obstetrics & Gynecology Physician
- Milford, CT
National Provider Identifier
1861691362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004237112 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI 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.