Annapolis OB/GYN Associates, P.a.
Organization Active NPI Obstetrics & Gynecology Physician · Annapolis, MD
NPI 1003912866 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1003912866
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ANNAPOLIS OB/GYN ASSOCIATES, P.A.
- Practice address
- 2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3745 - Phone
- (410) 573-9530
- Fax
- (410) 573-9569
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Latonick
- Title
- Administrator
- Phone
- (410) 573-9530
National Provider Directory
Locations
2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3745
Mailing address
2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3745
Phone (410) 573-9530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913511100 | Medicaid | MD |
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All providers in Annapolis, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.