| NPI | 1477535508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 877-328-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2021-07-13 |