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SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER NPI 1891849832


NPI Information

NPI: 1891849832
Provider Name: SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 21D0897300

Address:
9601 BLACKWELL ROAD
SUITE 400
ROCKVILLE, MD
ZIP 20850
Phone: (301) 340-1188
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SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER is a reproductive endocrinology obstetrics gynecology in Rockville, MD. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER NPI is 1891849832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9601 BLACKWELL ROAD
SUITE 400
ROCKVILLE, MD
ZIP 20850-478
Phone: (301) 340-1188
Fax: (301) 340-6478

The provider's authorized official is Shelly Shapiro .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 545-1407.

The CLIA number assigned to this NPI record is 21D0897300 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 2/15/2018.


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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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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