# THE CENTER FOR INNOVATIVE GYN CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437476777
- **Authorized official:** PAUL J MACKOUL MD (OWNER)
- **Authorized official phone:** (301) 404-6490

## Contact information

- **Practice address:** 3206 TOWER OAKS BLVD STE 200, ROCKVILLE, MD 20852-4253
- **Practice address phone:** (301) 652-4800
- **Practice address fax:** (301) 664-6475
- **Mailing address:** 3206 TOWER OAKS BLVD STE 200, ROCKVILLE, MD 20852-4253
- **Mailing address phone:** (301) 652-4800
- **Mailing address fax:** (301) 664-6475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 09/26/2022