Provider Demographics
NPI:1952434748
Name:WOMEN'S OBSTETRICS AND GYNECOLOGY, P.C.
Entity Type:Organization
Organization Name:WOMEN'S OBSTETRICS AND GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONIKA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHOUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:230-268-2239
Mailing Address - Street 1:115 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 107B
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6337
Mailing Address - Country:US
Mailing Address - Phone:203-268-2239
Mailing Address - Fax:203-268-9143
Practice Address - Street 1:115 TECHNOLOGY DR
Practice Address - Street 2:SUITE 107B
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6337
Practice Address - Country:US
Practice Address - Phone:203-268-2239
Practice Address - Fax:203-268-9143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001424580Medicaid
CT001424580Medicaid