Ob Gyn Pa

LBN: Ob Gyn Pa
Ob Gyn Pa is an health care organization with primary practice located at 20 Prospect Avenue Suite 607, Hackensack NJ 07601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Ob Gyn Pa can be contacted via phone (201) 487-3464, or through Chettum, Cynthia E via phone (201) 487-3464.

Contact Information

Primary practice address
20 Prospect Avenue Suite 607 Hackensack NJ 07601
Fax: (201) 487-0232
Website:
Authorized official contact:
Name: Chettum, Cynthia E

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1336212802
LBN Legal business name Ob Gyn Pa
DBA Doing business as
Authorized official Chettum, Cynthia E
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336212802 NPPES
New Jersey Other CF1821 RR MDCR GROUP #
New Jersey Other 0511943 RR MDCR GROUP #
New Jersey Other 8750176 RR MDCR GROUP #

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