Organization
URGYN WOMEN'S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BOUSKILA (CREDENTIALING MANAGER)
(718) 253-8111
Entity
Organization
Contact information
Practice address
500 RIVER AVE, SUITE 255, LAKEWOOD, NJ 08701-4738
(201) 447-1700
(201) 447-9386
Mailing address
615 FRANKLIN TPKE, RIDGEWOOD, NJ 07450-1903
(201) 447-1700
(201) 447-9386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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