Organization Name: | INNOVATIVE FERTILITY OF OHIO, LLC |
NPI Number: | 1558776245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORIE GROLL (PRACTICE ADMINISTRATOR) |
Mailing Address: | 8087 Washington Village Dr Suite 120 Washington Township |
State: | OH US |
Postal Code: | 454581840 |
Phone Number: | 9374585084 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2014 |
NPI Last Update Date: | 06/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VE0102X |
License Number: | 35.084514 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Reproductive Endocrinology |
Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |