| NPI | 1811941024 |
|---|---|
| Doing Business As | NORTHEAST OB-GYN, LLC |
| Entity Type | Organization |
| Authorized Contact | TAMARA A FURNISS Business Manager 260-426-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 50001834A) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-06-24 |