| NPI | 1386643187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Officer 877-328-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME43546) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-02-15 |