Urogynecology And Advanced Gynecology Medical Group Pa
LBN: Urogynecology And Advanced Gynecology Medical Group Pa
Urogynecology And Advanced Gynecology Medical Group Pa is an health care organization with primary practice located at 120 Irvington Ave , South Orange NJ 07079-1904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty.
Urogynecology And Advanced Gynecology Medical Group Pa can be contacted via phone (973) 275-0025, or through Hashemi, Emad A. via phone (973) 275-0025.
Contact Information
Primary practice address
120 Irvington Ave
South Orange NJ 07079-1904
Phone: (973) 275-0025
Fax: (973) 275-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X |
Profile Details
| NPI number | 1639238298 |
|---|---|
| LBN Legal business name | Urogynecology And Advanced Gynecology Medical Group Pa |
| DBA Doing business as | |
| Authorized official | Hashemi, Emad A. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 12th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639238298 | NPPES |
| New Jersey | MEDICAID | 0112089 |
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