Healthcare Provider Details

I. General information

NPI: 1659440485
Provider Name (Legal Business Name): CENTER FOR ADVANCED REPRODUCTIVE SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 01/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BATTERSON PARK RD
FARMINGTON CT
06032-2568
US

IV. Provider business mailing address

2 BATTERSON PARK RD
FARMINGTON CT
06032-2568
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-4580
  • Fax: 860-678-3435
Mailing address:
  • Phone: 860-679-4580
  • Fax: 860-678-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: VICKI BALDWIN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 860-678-5585