| NPI | 1861038754 |
|---|---|
| Other Name | UMSS MEMORIAL IVF CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA M WOOLDRIDGE Supervisor, Provider Enrollment 508-334-8890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |