NPI 1013179902
Illume Fertility, PLLC
Practice location
- Address
- 761 Main Ave Suite 200, Norwalk, CT 06851-1080
- Phone
- (203) 750-7400
Authorised official
- Name
- Robin Mangieri
- Title
- Ceo
- Phone
- (203) 750-7400
Registered specialties (2)
Ambulatory Fertility Facility
Primary
Ambulatory Surgical Clinic/Center
Registry record
- NPI
- 1013179902
- Entity type
- Organization
- NPI issued
- 1 Jul 2008
- Record last updated
- 4 Apr 2022
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.