Crescent St Obgyn LLC
NPI #1184884355 in Middletown, Connecticut
Provider Information
- NPI Number
- 1184884355
- Entity Type
- Organization
- Organization Name
- Crescent St Obgyn LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 11, 2008
- Last Updated
- Jun 11, 2008
Practice Location
- Address
- 49 CRESCENT ST
- City
- Middletown
- State
- Connecticut
- ZIP Code
- 06457-3601
- Phone
- (860) 344-9993
Authorized Official
- Name
- DR. JULIE S FLAGG, MD
- Title
- OWNER
- Phone
- (860) 344-9993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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