Organization
CENTER FOR CONTINENCE AND PELVIC SUPPORT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN WELGOSS MD (PRESIDENT)
(571) 389-7140
Entity
Organization
Contact information
Practice address
110 HOSPITAL RD, STE 203, PRINCE FREDERICK, MD 20678-4019
(571) 389-7140
(703) 992-7584
Mailing address
3289 WOODBURN RD, STE 130, ANNANDALE, VA 22003-6800
(571) 389-7140
(703) 992-7584
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
11/21/2013
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