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Contact Information

PREMIER OB/GYN LLC
135 BLOOMFIELD AVE
SUITE L
BLOOMFIELD, NJ07003-5902
 Phone: 973-429-2209
 Fax: 973-429-2210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PREMIER OBGYN LLC · (Female)

NPI # 1336313113
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2008
Last updated 04/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA07375800
  • NJ Medicaid 0002453
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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