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General NPI Number Information
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NPI Number | 1528128741
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Entity Type | Organization
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Legal Business Name | PUTNAM GYNECOLOGY & OBSTETRICS OF GREENWICH PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 55 HOLLY HILL LN SUITE 130
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City | GREENWICH
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State | CT
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Zip | 06830-6074
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Country | US
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Telephone | 203-622-0303
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Fax | 203-489-3980
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Provider Business Mailing Address
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Address Line | 55 HOLLY HILL LN SUITE 130
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City | GREENWICH
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State | CT
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Zip | 06830-6074
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Country | US
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Telephone | 203-622-0303
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Fax | 203-489-3980
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. CHRISTINE A BALASCIO
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Credential |
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Telephone | 203-622-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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