| NPI | 1851766232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN NOVAC President 754-201-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME122662) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2018-12-11 |