Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 000202 | CT |
NPI | 1104899400 |
---|---|
Provider Name | Mrs. Janet C Rufo |
First Address | New London, CT 06320-4614 |
Second Address | New London, CT 06320-4614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 08/07/2007 |