Fairhaven Obstetrics & Gynecology, INC

NPI #1437183605 in Goshen, Indiana

Provider Information

NPI Number
1437183605
Entity Type
Organization
Organization Name
Fairhaven Obstetrics & Gynecology, INC
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Jul 11, 2006
Last Updated
Jul 7, 2009

Practice Location

Address
1111 LIGHTHOUSE LANE
City
Goshen
State
Indiana
ZIP Code
46526-3824
Phone
(574) 533-0348

Authorized Official

Name
GAYLE J BORKOWSKI, M.D.
Title
PRESIDENT
Phone
(574) 533-0348

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Women's HealthWomen's Health
Advanced Practice Midwife
Obstetrics & Gynecology

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