Organization
ADVANCED WOMENS HEALTH AND SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABIBEH GITIFOROOZ MD (OWNER)
(216) 296-0458
Entity
Organization
Contact information
Practice address
25200 CENTER RIDGE RD, WESTLAKE, OH 44145-4141
(216) 296-0458
Mailing address
PO BOX 314, CHAGRIN FALLS, OH 44022-0314
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2229127
—
OH
Enumeration date
04/15/2019
Last updated
04/15/2019
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