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Contact Information

EASTERN SHORE GYNECOLOGY, P.A
598 CYNWOOD DR # 105
EASTON, MD21601-3805
 Phone: 410-822-1221
 Fax: 410-819-8149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EASTERN SHORE GYNECOLOGY, P.A

NPI # 1093862641
LBN Legal business name EASTERN SHORE GYNECOLOGY, P.A
Authorized official WILLIAM KATZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2007
Last updated 07/09/2012 - About 14 years ago
Identifiers
MD License # D0025475
MD License # D0056997
Other 1255339875 INDIVIDUAL NPI
MD Other 1093862641 GROUP NPI
MD Other 1679571293 INDIVIDUAL NPI
MD Other 1841395605 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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