Organization
NEW TOWN OBSTETRICS & GYNECOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY O IWUAGWU M.D. (PRESIDENT)
(219) 944-7565
Entity
Organization
Contact information
Practice address
2200 GRANT ST, STE 207, GARY, IN 46404-3439
(219) 944-7565
Mailing address
2200 GRANT ST, STE 207, GARY, IN 46404-3439
(219) 944-7565
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247520A
—
IN
Enumeration date
02/17/2012
Last updated
02/17/2012
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