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Northeast Obstetrics & Gynecology, Llc
Medical Specialty Clinic/Center in Fort Wayne, Indiana
NPI 1811941024

Northeast Obstetrics & Gynecology, Llc is a Medical Specialty Clinic/Center based in Fort Wayne, IN and is specialized in Medical Specialty. Northeast Obstetrics & Gynecology, Llc practices in Fort Wayne, IN. The NPI Number for Northeast Obstetrics & Gynecology, Llc is 1811941024 and holds a License No. 50001834A (Indiana).

The current practice location address for Northeast Obstetrics & Gynecology, Llc is 11123 Parkview Plaza Dr, Fort Wayne, IN and can be reached out via phone at 260-422-7455 and via fax at 260-424-9356.

Location: 11123 Parkview Plaza Dr, Fort Wayne, IN, 46845-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811941024
Provider Name
Northeast Obstetrics & Gynecology, Llc
Credential
Provider Entity Type
Organization
Address
11123 Parkview Plaza Dr, Fort Wayne, IN, 46845-1707
Phone Number
260-422-7455
Fax Number
260-424-9356
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100055270A 05 IN
institution
Provider Business Practice Location Address Details
Address
11123 Parkview Plaza Dr
City
Fort Wayne
State
Indiana
Zip
46845-1707
Phone Number
260-422-7455
Fax Number
260-424-9356
person
Provider Business Mailing Address Details
Address
11123 Parkview Plaza Dr
City
Fort Wayne
State
Indiana
Zip
46845-1707
Phone Number
260-422-7455
Fax Number
260-424-9356
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
50001834A (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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