Organization
BELLEGROVE OB/GYN, INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL E NUDELMAN MD (PRESIDENT)
(425) 455-0244
Entity
Organization
Contact information
Practice address
1200 112TH AVE NE STE C115, BELLEVUE, WA 98004-3745
(425) 455-0244
(425) 455-9411
Mailing address
1200 112TH AVE NE STE C115, BELLEVUE, WA 98004-3745
(425) 455-0244
(425) 455-9411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
600249764
WA
Other
Enumeration date
08/20/2006
Last updated
05/11/2017
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