Organization Name: | CENTER FOR GYN SURGERY |
NPI Number: | 1346520699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAVINA JACKS (BILLING & COLLECTION MANAGER) |
Mailing Address: | 129 Lubrano Dr Suite 101 Annapolis |
State: | MD US |
Postal Code: | 214017564 |
Phone Number: | 4108970501 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101243278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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. |