=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740263813
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | URANIA MAGRIPLES MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2005
-----------------------------------------------------
Last Update Date | 03/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20 YORK ST YNHH EAST PAVILION, 4TH FLOOR
-----------------------------------------------------
City | NEW HAVEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06510-3220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-785-5682
-----------------------------------------------------
Fax | 203-785-3419
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20 YORK ST YNHH EAST PAVILION, 4TH FLOOR
-----------------------------------------------------
City | NEW HAVEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06510-3220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-785-5682
-----------------------------------------------------
Fax | 203-785-3419
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 031224
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------