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NEW MOM'S OF GREEN BAY SC NPI 1558534313


NPI Information

NPI: 1558534313
Provider Name: NEW MOM'S OF GREEN BAY SC
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
704 S WEBSTER AVE STOP 110
GREEN BAY, WI
ZIP 54301
Phone: (920) 431-0200
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NEW MOM'S OF GREEN BAY SC is a maternal and fetal medicine obstetrics gynecology in Green Bay, WI. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. NEW MOM'S OF GREEN BAY SC NPI is 1558534313. The provider is registered as an organization entity type.

The provider's business location address is:

704 S WEBSTER AVE STOP 110
GREEN BAY, WI
ZIP 54301-528
Phone: (920) 431-0200
Fax: (920) 431-0300

The provider's authorized official is Allahyar Jazayeri .
The authorized official title is President/owner and has the following contact phone number (920) 338-6868.

The enumeration date for this NPI number is 4/11/2008 and was last updated on 12/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center44616020WISCONSINNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine44616020WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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