Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 50547 | CT |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 50547 | CT |
NPI | 1083607121 |
---|---|
Provider Name | Reinaldo Figueroa |
First Address | Hartford, CT 06105-1770 |
Second Address | Hartford, CT 06105-1208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 22/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01044320 | (05) | NY |
A61962 | (02) |