| Organization Name: | OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC |
| NPI Number: | 1083881973 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN IGNATIUS PROCTOR (OWNER) |
| Mailing Address: | 6192 Oxon Hill Rd Suite 600 Oxon Hill |
| State: | MD US |
| Postal Code: | 207453114 |
| Phone Number: | 3018396300 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2008 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | D38772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |