Northeast Obstetrics & Gynecology, LLC
NPI #1811941024 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1811941024
- Entity Type
- Organization
- Organization Name
- Northeast Obstetrics & Gynecology, LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- May 20, 2006
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 11123 PARKVIEW PLAZA DR
- Address 2
- SUITE 101
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1707
- Phone
- (260) 422-7455
Authorized Official
- Name
- MRS. TAMARA A FURNISS
- Title
- BUSINESS MANAGER
- Phone
- (260) 426-7755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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