Ronald C Archibold
Gynecologist
333 Pomfret St
Putnam
, Connecticut 06260-1852
Ronald C Archibold
Gynecologist
333 Pomfret St
Putnam
, Connecticut 06260-1852
(860) 928-6738
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Ronald C Archibold
- Po Box 569
- Putnam, CT
- Zip : 06260-0569
- Fax : (860) 928-6738
- Phone : (860) 963-0808
Second Address
- Ronald C Archibold
- 333 Pomfret St
- Putnam, CT
- Zip : 06260-1852
- Fax : (860) 928-6738
- Phone : (860) 963-0808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 036115 | CT |
National Provider Identifier
| NPI | 1144376336 |
|---|---|
| Provider Name | Ronald C Archibold |
| First Address | Putnam, CT 06260-0569 |
| Second Address | Putnam, CT 06260-1852 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G23989 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.