Intergrative Obgyn Llc

NPI 1174899926 - Obstetrics & Gynecology - 207VX0000X

NPI Details
NPI 1174899926
Enumeration Date 03/27/2012
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THERESA THERESA
Position MANAGER
Phone (908) 685-2200
Fax (908) 561-1105
Practice Location
110 REHILL AVE
SOMERVILLE NJ, 08876-2519, US
Phone (908) 685-2200
Fax (908) 561-1105
Business Location
775 MOUNTAIN BLVD STE 107
WATCHUNG NJ, 07069-6262, US
Phone (908) 561-1102
Fax (908) 561-1105
Toxanomy
Taxonomy Code 207VX0000X
License State New Jersey
License Number 0600382326
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According to our database, Intergrative Obgyn Llc NPI is 1174899926, taxonomy code is 207VX0000X and license number is 0600382326, license state is located at New Jersey. Intergrative Obgyn Llc physically located at 110 Rehill Ave, Somerville NJ, 08876-2519. NPI Number 1033115704 has the healthcare provider type.

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1174899926 NPI number is provided on an as is basis without warranty of any kind. 1174899926 is maintained by the National Plan & Provider Enumeration System. The contents of Intergrative Obgyn Llc are for informational purposes only.