National Provider Identifier Database

ILLUME FERTILITY PLLC
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

ILLUME FERTILITY, PLLC
761 MAIN AVE
SUITE 200
NORWALK, CT06851-1080
Phone: 203-750-7400
Fax: 203-846-9579
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for ILLUME FERTILITY, PLLC

NPI Number 1013086727
Legal business name
LBN
ILLUME FERTILITY, PLLC
Authorized official ROBIN MANGIERI - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 03/01/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Other: 753059794 TAX IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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