| NPI | 1104283555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAN ABDUL RAHMAN Owner 267-979-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD0349574E) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |