Organization Name: | GERMANTOWN REPRODUCTIVE HEALTH SERVICES, INC. |
NPI Number: | 1053686063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEROY HARRISON CARHART (MEDICAL DIRECTOR) |
Mailing Address: | 13233 Executive Park Ter Germantown |
State: | MD US |
Postal Code: | 208742648 |
Phone Number: | 3013539200 |
Fax Number: | 3016014318 |
NPI Enumeration Date: | 03/09/2012 |
NPI Last Update Date: | 03/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0071127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |