Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 032-715 | CT |
NPI | 1124044490 |
---|---|
Provider Name | Dr. Mindy Carol Fishman |
First Address | New Canaan, CT 06840-6701 |
Second Address | New Canaan, CT 06840-6701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F53867 | (02) |