Doctor Name: | DR. AMELIA FAJARDO |
NPI Number: | 1558387001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301030837 |
Business Practice Address: | 361 N Main St Ste. B Watervliet, MI - 490989630 |
Business Phone Number: | 2694633125 |
Business Fax Number: | 2694633126 |
Mailing Address: | 450 Medical Park Dr, Ste. #100 WATERVLIET |
State: | MI |
Postal Code: | 490988531 |
Phone Number: | 2694633125 |
Fax Number: | 2694633126 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 05/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 4301030837 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |