Mamata J Bharucha, MD Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Bridgeport, CT
- NPI
- 1902913585
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 024210 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-23
- Last updated
- 2014-02-25
Practice location
3180 Main Street, Suite 202
Bridgeport, CT 06606
(203) 374-0404