Organization
INNOVATIVE HEALTHCARE PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C WIRTH III MD (OWNER PHYSICIAN)
(212) 393-9400
Entity
Organization
Contact information
Practice address
225 BROADWAY, RM 901, NEW YORK, NY 10007-3001
(212) 393-9400
(212) 393-9405
Mailing address
225 BROADWAY, RM 901, NEW YORK, NY 10007-3001
(212) 393-9400
(212) 393-9405
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
209892-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01810457
—
NY
Enumeration date
11/07/2006
Last updated
08/22/2020
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