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NPI 1578835617

NPI 1578835617 : BRIAN F RIGNEY MD PC : NEW HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1578835617
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIAN F RIGNEY MD PC 
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Dates
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    Enumeration Date     |    02/06/2012
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    Last Update Date     |    02/06/2012
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Provider Practice Location Address
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    Address Line         |    200 ORCHARD ST SUITE 309
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06511-5363
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    Country              |    US
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    Telephone            |    203-789-3408
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    Fax                  |    203-789-3909
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Provider Business Mailing Address
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    Address Line         |    200 ORCHARD ST SUITE 309
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06511-5363
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    Country              |    US
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    Telephone            |    203-789-3408
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    Fax                  |    203-789-3909
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRIAN  RIGNEY 
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    Credential           |    MD
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    Telephone            |    203-789-3408
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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       |    13622
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    License Number State |    CT
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