| NPI | 1821459256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN NOVAC Director 754-229-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME113453) |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2018-12-11 |