NPI | 1770055238 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY IVESS Associate Director, Credentialing 571-366-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
207VX0000X Obstetrics & Gynecology, Obstetrics | |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
Enumeration Date | 2018-12-21 |
Last Update Date | 2018-12-21 |