Healthcare Provider Details

I. General information

NPI: 1144358128
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF CT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 MAIN ST
WILLIMANTIC CT
06226-1142
US

IV. Provider business mailing address

345 WHITNEY AVE
NEW HAVEN CT
06511-2348
US

V. Phone/Fax

Practice location:
  • Phone: 860-423-0336
  • Fax: 860-423-8428
Mailing address:
  • Phone: 203-752-2856
  • Fax: 203-752-8785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StateCT

VIII. Authorized Official

Name: JUDY TABAR
Title or Position: CEO
Credential:
Phone: 203-752-2816