# OBSTETRIC AND GYNECOLOGIC ASSOC OF CORTLAND MD PC

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

## Provider details

- **NPI number:** 1588711402
- **Authorized official:** IN WHAN OH MD (PRESIDENT MD)
- **Authorized official phone:** (607) 753-7578

## Contact information

- **Practice address:** 11 ALVENA AVE, SUITE 101, CORTLAND, NY 13045
- **Practice address phone:** (607) 753-7578
- **Practice address fax:** (607) 758-3193
- **Mailing address:** 11 ALVENA AVE, SUITE 101, CORTLAND, NY 13045
- **Mailing address phone:** (607) 753-7578
- **Mailing address fax:** (607) 758-3193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 1472741 | NY | Yes |
| 207VG0400X | Gynecology Physician | 1472741 | NY | — |
| 207VX0000X | Obstetrics Physician | 1472741 | NY | — |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 03/14/2013