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SOUTH ORANGE OB/GYN AND INFERTILITY GROUP NPI 1629244512


NPI Information

NPI: 1629244512
Provider Name: SOUTH ORANGE OB/GYN AND INFERTILITY GROUP
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 31D2301646

Address:
106 VALLEY STREET
2ND FLOOR / RAMP STREET
SOUTH ORANGE, NJ
ZIP 07079
Phone: (973) 763-4334
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SOUTH ORANGE OB/GYN AND INFERTILITY GROUP is an obstetrics gynecology in South Orange, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTH ORANGE OB/GYN AND INFERTILITY GROUP NPI is 1629244512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 VALLEY STREET
2ND FLOOR / RAMP STREET
SOUTH ORANGE, NJ
ZIP 07079
Phone: (973) 763-4334
Fax: (973) 763-4355

The provider's authorized official is Cindi Dresdner .
The authorized official title is Office Manager and has the following contact phone number (973) 763-4334.

The CLIA number assigned to this NPI record is 31D2301646 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 6/23/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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: 5/5/2024

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