University Suburban Gynecology 2llc

NPI #1184804007 in South Euclid, Ohio

Provider Information

NPI Number: 1184804007
Entity Type: Organization
Organization Name: University Suburban Gynecology 2llc
Primary Specialty: Clinic/Center
Enumeration Date: Nov 8, 2007
Last Updated: Nov 8, 2007

Practice Location

Address: 1611 S GREEN RD
Address 2: SUITE 204
City: South Euclid
State: Ohio
ZIP Code: 44121-4128
Phone: (404) 943-0205

Authorized Official

Name: ALICIA HOLDEN, ACCOUNTING
Title: LEAD
Phone: (404) 943-0205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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