Organization Name: | EASTERN SHORE GYNECOLOGY, P.A |
NPI Number: | 1093862641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM HENRY KATZ (OWNER) |
Mailing Address: | 598 Cynwood Dr # 105 Easton |
State: | MD US |
Postal Code: | 216013805 |
Phone Number: | 4108221221 |
Fax Number: | 4108198149 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0025475 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |