Interlocal Community Action Program

NPI #1538285838 in New Castle, Indiana

Provider Information

NPI Number
1538285838
Entity Type
Organization
Organization Name
Interlocal Community Action Program
Primary Specialty
Obstetrics & Gynecology - Gynecologic Oncology
Enumeration Date
Mar 21, 2007
Last Updated
Jul 29, 2008

Practice Location

Address
1912 BUNDY AVE
State
Indiana
ZIP Code
47362-2918
Phone
(765) 521-1401

Authorized Official

Name
MR. KEVIN POLIVICK
Title
EXECUTIVE DIRECTOR
Phone
(765) 529-4403

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - Gynecologic OncologyGynecologic Oncology

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