Healthcare Provider Details

I. General information

NPI: 1639178296
Provider Name (Legal Business Name): MARY E MIHALEK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY E ARMINGTON M.D.

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KENSINGTON AVE GROVE HILL MEDICAL CENTER
NEW BRITAIN CT
06051-3916
US

IV. Provider business mailing address

300 KENSINGTON AVE GROVE HILL MEDICAL CENTER
NEW BRITAIN CT
06051-3916
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-6215
  • Fax: 860-826-4957
Mailing address:
  • Phone: 860-224-6215
  • Fax: 860-826-4957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036746
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: