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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 Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ILLUME FERTILITY, PLLC

NPI # 1013086727
LBN Legal business name ILLUME FERTILITY, PLLC
Authorized official ROBIN MANGIERI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 03/01/2022 - About 4 years ago
Identifiers
CT Other 753059794 TAX IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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