Organization
FAIRFIELD OB/GYN ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL P NOBLE (AGENT)
(614) 451-7346
Entity
Organization
Contact information
Practice address
1319 E MAIN ST, LANCASTER, PA 43130
(614) 451-7346
(614) 451-5846
Mailing address
PO BOX 20451, COLUMBUS, OH 43220
(614) 451-7346
(614) 451-5846
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34004690G
OH
261QA1903X
Ambulatory Surgical Clinic/Center
34004960G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148450
—
OH
Enumeration date
02/01/2006
Last updated
08/18/2008
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