Healthcare Provider Details

I. General information

NPI: 1851938906
Provider Name (Legal Business Name): NEW ENGLAND FERTILITY INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 12/09/2019
Certification Date: 12/09/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 SUMMER ST STE 201
STAMFORD CT
06905-5315
US

IV. Provider business mailing address

5000 MERIDIAN BLVD STE 250
FRANKLIN TN
37067-6681
US

V. Phone/Fax

Practice location:
  • Phone: 615-721-6250
  • Fax:
Mailing address:
  • Phone: 615-721-6250
  • 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: AMY RANGEL
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 832-678-3045