Organization Name: | CONTEMPORARY GYNECOLOGY, PC |
NPI Number: | 1245596725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEGAN LYNN NAGY (PHYSICIAN/OWNER) |
Mailing Address: | 7940 Allen Rd Allen Park |
State: | MI US |
Postal Code: | 481011704 |
Phone Number: | 3139283200 |
Fax Number: | 3139280246 |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 5101017129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |