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CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC
NPI 1255635371
Obstetrics & Gynecology in Middletown, CT

Active since January 04, 2011
49 CRESCENT STREET, MIDDLETOWN, CT 06457(860) 344-9993(860) 344-9844 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent Street Obstetrics & Gynecology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC (NPI 1255635371) is a healthcare organization registered as an obstetrics & gynecology in Middletown, Connecticut and active in the NPI registry since January 2011. The organization lists Julie S Flagg, Owner, as its authorized official.

NPPES Registry Identity

NPI1255635371
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCRESCENT STREET OBSTETRICS & GYNECOLOGY LLC
Location Address49 CRESCENT STREETMiddletown, CT 06457-3601
Mailing Address49 Crescent StreetMiddletown, CT 06457-3601 · (860) 344-9993 · Fax (860) 344-9844
Phone(860) 344-9993
Fax(860) 344-9844
Organization SubpartNo
Authorized OfficialJulie S FlaggOwner · (860) 344-9993
Enumeration DateJanuary 4, 2011
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1255635371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 025189
Definition
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.
49 CRESCENT STREET, Middletown, CT 06457
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Other Identifiers 2

Medicaid004089729CT
Medicare PINC00724CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Street Obstetrics & Gynecology LLC's NPI number?

The NPI number for Crescent Street Obstetrics & Gynecology LLC is 1255635371. It was assigned to this organization in the NPPES registry on January 4, 2011.

Where is Crescent Street Obstetrics & Gynecology LLC located?

Crescent Street Obstetrics & Gynecology LLC is located at 49 Crescent Street, Middletown, CT 06457. The listed phone number is (860) 344-9993.

What is Crescent Street Obstetrics & Gynecology LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Crescent Street Obstetrics & Gynecology LLC was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.