Reproductive Endocrinology of SLR

Health Provider Information

Reproductive Endocrinology of SLR organization have npi 1164407359, taxonomy code is 207VE0102X with license number is in . This Business address located in PO Box 32577, Hartford, CT 61502 Connecticut.

Authorized Official

Name: Buhager James

Position: President

Phone: (212) 523-4000

Practice Location

Address: 1000 10th Ave, New York, NY 10019

Phone: (212) 523-4000

Business Location

Address: PO Box 32577, Hartford, CT 61502

Phone: (201) 804-2800

Taxonomy

Taxonomy Code: 207VE0102X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 12/9/2005

Last Update: Fri, 09 Dec 2005