Organization
AMER OB/GYN ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA SASAKI (CREDENTIALING MANAGER)
(516) 520-8551
Entity
Organization
Contact information
Practice address
900 W MAIN ST, SUITE 3, FREEHOLD, NJ 07728-2523
(732) 294-5600
Mailing address
900 W MAIN ST, SUITE 3, FREEHOLD, NJ 07728-2523
(732) 294-5600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA61775
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18567
TIN (FIVE LAST DIGITS)
NJ
Enumeration date
05/20/2013
Last updated
05/20/2013
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