Organization Name: | JUST FOR WOMEN GYNECOLOGY , PA |
NPI Number: | 1295163004 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN CLAIRE MORRIS (PHYSICIAN) |
Mailing Address: | 462 Main St Ste 1 Springvale Springvale |
State: | ME US |
Postal Code: | 040831818 |
Phone Number: | 2072067270 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2013 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD012728 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |