Organization
FAMILY OBSTETRICS-GYNECOLOGY PLLC
Active
Other names
Family Obstetrics-Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JEAN BRANCHAUD R.N. (OFFICE MANAGER)
(315) 769-7777
Entity
Organization
Contact information
Practice address
15 HOSPITAL DR, SUITE A, MASSENA, NY 13662-1037
(315) 769-7777
Mailing address
15 HOSPITAL DR, SUITE A, MASSENA, NY 13662-1037
(315) 769-7777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
232251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02563564
—
NY
Enumeration date
11/12/2007
Last updated
11/12/2007
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