Provider Demographics
NPI:1801083761
Name:FARMINGTON CENTER FOR REPRODUCTION PC
Entity type:Organization
Organization Name:FARMINGTON CENTER FOR REPRODUCTION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NARENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-826-5122
Mailing Address - Street 1:33 LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1446
Mailing Address - Country:US
Mailing Address - Phone:860-826-5122
Mailing Address - Fax:
Practice Address - Street 1:33 LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1446
Practice Address - Country:US
Practice Address - Phone:860-826-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT22173207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC03046OtherMEDICARE
CT001221738Medicaid
CT1356382212OtherNPI-INDIVIDUAL
CTB84421Medicare UPIN
CTC03046OtherMEDICARE