Provider Demographics
NPI:1811044738
Name:MEDICAL OPTIONS, INC.
Entity Type:Organization
Organization Name:MEDICAL OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-743-5024
Mailing Address - Street 1:PO BOX 3047
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06813-3047
Mailing Address - Country:US
Mailing Address - Phone:203-743-5024
Mailing Address - Fax:203-743-5203
Practice Address - Street 1:27 HOSPITAL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5954
Practice Address - Country:US
Practice Address - Phone:203-743-5024
Practice Address - Fax:203-743-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004052890Medicaid
CT208D00000XOtherGROUP PRACTICE