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Organization
OBSTETRIC AND GYNECOLOGIC ASSOC OF CORTLAND MD PC
Active
Organization
OBSTETRIC AND GYNECOLOGIC ASSOC OF CORTLAND MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IN WHAN OH MD (PRESIDENT MD)
(607) 753-7578
Entity
Organization
Contact information
Practice address
11 ALVENA AVE, SUITE 101, CORTLAND, NY 13045
(607) 753-7578
(607) 758-3193
Mailing address
11 ALVENA AVE, SUITE 101, CORTLAND, NY 13045
(607) 753-7578
(607) 758-3193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1472741
NY
207VG0400X
Gynecology Physician
1472741
NY
207VX0000X
Obstetrics Physician
1472741
NY
Other
Enumeration date
01/04/2007
Last updated
03/14/2013
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