Provider Demographics
NPI:1417450644
Name:AMERICAN FERTILITY SERVICES
Entity Type:Organization
Organization Name:AMERICAN FERTILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAO
Authorized Official - Middle Name:C
Authorized Official - Last Name:DE PINHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-774-9900
Mailing Address - Street 1:100 PUTNAM GRN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6877
Mailing Address - Country:US
Mailing Address - Phone:203-774-9900
Mailing Address - Fax:
Practice Address - Street 1:100 PUTNAM GRN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6877
Practice Address - Country:US
Practice Address - Phone:203-774-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT54756207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty