Evergreen Gynecology Associates, P.A. in - Gynecology

Evergreen Gynecology Associates, P.A. - NPI 1629154463

Evergreen Gynecology Associates, P.A. is a Gynecology in , . Evergreen Gynecology Associates, P.A. practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Evergreen Gynecology Associates, P.A. is 1629154463. The last update date is 2013-10-16.

Evergreen Gynecology Associates, P.A.'s current location address is , , . You can contact this provider via phone number . The mailing address for Evergreen Gynecology Associates, P.A. is , , . To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen Gynecology Associates, P.A.
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Laeger N. Jane
Credentials M.D.
Telephone Number 2079478658

NPI Number Detail

NPI Number 1629154463
Provider Enumeration Date 2006-10-27
Last Updated Date 2013-10-16

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Licence No 11478
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
115880000 ME --
697 ME ANTHEM
M63911 ME CIGNA
726446 ME AETNA

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FAQs about Evergreen Gynecology Associates, P.A.

What is the unique identifier code issued to Evergreen Gynecology Associates, P.A. by the Centers for Medicare & Medicaid Services?

The Evergreen Gynecology Associates, P.A. has been assigned the NPI (National Provider Identifier) 1629154463. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Evergreen Gynecology Associates, P.A. is physically located?

The Evergreen Gynecology Associates, P.A. is physically situated at the following address: , , , .

What is Evergreen Gynecology Associates, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Evergreen Gynecology Associates, P.A.'s specialized field of practice is Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207Vg0400X.

On what date did the Evergreen Gynecology Associates, P.A. receive the assignment of its 1629154463 from the Centers for Medicare & Medicaid Services?

The Evergreen Gynecology Associates, P.A. was issued its 1629154463 by the Centers for Medicare & Medicaid Services on 2006-10-27.

As of what date were the Evergreen Gynecology Associates, P.A.'s details last updated?

The information pertaining to the Evergreen Gynecology Associates, P.A., including its address, specialty, and other details, was most recently updated on 2013-10-16.

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