Healthcare Provider Details

I. General information

NPI: 1154429884
Provider Name (Legal Business Name): CENTER FOR FERTILITY AND WOMEN'S HEALTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND ST SUITE E-3
NEW BRITAIN CT
06052-2016
US

IV. Provider business mailing address

1 OXFORD RD
FARMINGTON CT
06032-1432
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5467
  • Fax: 860-224-5471
Mailing address:
  • Phone:
  • Fax:

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: MAGGIE SANZARO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 860-224-5967