Healthcare Provider Details

I. General information

NPI: 1609479054
Provider Name (Legal Business Name): REPRODUCTIVE CENTERS OF AMERICA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 DAYBREAK LN
WESTPORT CT
06880-2157
US

IV. Provider business mailing address

12 DAYBREAK LN
WESTPORT CT
06880-2157
US

V. Phone/Fax

Practice location:
  • Phone: 475-377-0737
  • Fax: 475-377-0737
Mailing address:
  • Phone: 917-837-5802
  • 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: DR. JOAO FELDMAN CORREIA DE PINHO
Title or Position: MANAGER, MEDICAL DIRECTOR
Credential: MD, FACOG
Phone: 917-837-5802