NPI | 1376724096 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD A CONLEN President 561-368-2005 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME45769) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2007-11-21 |