Organization
OB/GYN SPECIAL CARE, LLC
Active
Parent organization
CENTER OF ADVANCED PELVIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER OF ADVANCED PELVIC SURGERY
Authorized official
DR. LABIB EDISON RIACHI MD (PRESIDENT)
(908) 282-2000
Entity
Organization
Contact information
Practice address
240 WILLIAMSON ST, SUITE 304, ELIZABETH, NJ 07202-3674
(908) 282-2000
(908) 282-6660
Mailing address
240 WILLIAMSON ST, SUITE 304, ELIZABETH, NJ 07202-3674
(908) 282-2000
(908) 282-6660
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07007000
NJ
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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