Provider Demographics
NPI:1972743284
Name:GREENWICH FERTILITY & IVF CENTER
Entity Type:Organization
Organization Name:GREENWICH FERTILITY & IVF CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-863-3008
Mailing Address - Street 1:55 HOLLY HILL LN
Mailing Address - Street 2:SUITE 270
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6074
Mailing Address - Country:US
Mailing Address - Phone:203-863-2990
Mailing Address - Fax:203-863-2980
Practice Address - Street 1:55 HOLLY HILL LN
Practice Address - Street 2:SUITE 270
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830
Practice Address - Country:US
Practice Address - Phone:203-863-2990
Practice Address - Fax:203-863-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty