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NPI Code Detail

MEDICARE: GENERATIONS OBSTETRICS AND GYNECOLOGY, PC

MEDICARE: GENERATIONS OBSTETRICS AND GYNECOLOGY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianCT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C01389OTHERCTGROUP PTAN

General Provider Information

NPI Number : 1710171939
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS OBSTETRICS AND GYNECOLOGY, PC
Provider Business Mailing Address
First Line : 2446 WHITNEY AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06518-3233
Country : US
Telephone Number : 203-248-4461
Fax Number : 203-288-6761
Provider Business Practice Location Address
First Line : 2446 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3233
Country : US
Telephone Number : 203-248-4461
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MR. SEAN M. FLAHERTY
Credential : M.D.
Telephone Number : 203-562-6741
Provider Enumeration Date : 08/30/2007
Last Update Date : 10/10/2024

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