Organization
FREDERICKSBURG OBGYN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C EDWARD ROYSTER MD (PRESIDENT)
(540) 371-6330
Entity
Organization
Contact information
Practice address
621 JEFFERSON DAVIS HWY, SUITE 201, FREDERICKSBURG, VA 22401-4437
(540) 371-6331
(540) 373-4523
Mailing address
621 JEFFERSON DAVIS HWY, SUITE 201, FREDERICKSBURG, VA 22401-4437
(540) 371-6331
(540) 373-4523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03053
GROUP NUMBER
VA
Enumeration date
12/19/2006
Last updated
03/08/2012
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