Organization · Type 2 NPI

Her Transformation Obgyn, PLLC

Obstetrics & Gynecology Physician · Fairfield, CT

NPI number 1104391598 Active

Practice location

2228 Black Rock Tpke Ste 211
Fairfield, CT 06825-3237

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Another provider at this address

Valentine Edusa, MD, FACOGObstetrics & Gynecology Physician Fairfield, CT NPI 1588827653

Other obstetrics & gynecology physician providers in Fairfield

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NPI record

NPI: 1104391598
Entity type: Organization (Type 2)
Issued: Oct 11, 2018
Last updated: May 10, 2019
Status: Active

Other names

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Her Transformation Obgyn · doing business as
Her Transformation Obgyn · doing business as

Authorized official

Valentine Edusa, MD, FACOG
Founder/managing Member
(475) 888-0099

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104391598

Her Transformation Obgyn, PLLC's National Provider Identifier is 1104391598, issued on Oct 11, 2018. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Fairfield, CT. The record was last updated on May 10, 2019.