| NPI | 1932192879 |
|---|---|
| Other Name | BAYSIDE OB/GYN |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J WEIBEL President 814-456-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2009-09-10 |