| NPI | 1649613829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN WELGOSS President 571-389-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-11-21 |