NPI 1003122011

Advanced Gynecology Consultants of New England, LLC

Organisation Gynecology Physician Putnam, CT

Practice location

Address: 333 Pomfret St, Putnam, CT 06260-1852
Phone: (860) 963-0808
Fax: (860) 928-6738
Mailing address: PO Box 569, Putnam, CT 06260-0569

Authorised official

Name: Ronald C Archibold
Title: Owner
Phone: (860) 963-0808

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence 036115 (CT)

Other Obstetrics & Gynecology providers in Connecticut →

Registry record

NPI: 1003122011
Entity type: Organization
NPI issued: 27 Aug 2010
Record last updated: 27 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.