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DR. HENRY STEVEN AMDUR M.D.

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1700920022

Individual Registrant:
DR. HENRY STEVEN AMDUR M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
425 MONTAUK AVE  NEW LONDON, CT 06320-4642 US
Tel: 860-442-0383  Fax: 860-442-7266

Contact information for business:
425 MONTAUK AVE  NEW LONDON, CT 06320-4642 US
Tel: 860-442-0383  Fax: 860-442-7266

Registration Information:
NPI: 1700920022
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
CT027274

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HEALTHNET030626CT01
OXFORDNLP054CT01
ANTHEM010027274CT01CT01




HEALTH CARE JOBS CT - Page 1



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