Organization Name: | ADVANCED CARE OB GYN LLC |
NPI Number: | 1386824456 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALVATORE ANTHONY CARFAGNO (PHYSICIAN) |
Mailing Address: | 707 White Horse Pike Suite D-4 Absecon |
State: | NJ US |
Postal Code: | 082011458 |
Phone Number: | 6092720506 |
Fax Number: | 6092720607 |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MB065050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |