| New Mom's Of Green Bay Sc | |
|
704 S Webster Ave Stop 110 Green Bay WI 54301-3528 | |
| (920) 431-0200 | |
| (920) 431-0300 |
| Full Name | New Mom's Of Green Bay Sc |
|---|---|
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 704 S Webster Ave Stop 110, Green Bay, Wisconsin |
| Authorized Official Name and Position | Allahyar Jazayeri (PRESIDENT/OWNER) |
| Authorized Official Contact | 9203386868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mom's Of Green Bay Sc 704 S Webster Ave Stop 110 Green Bay WI 54301-3528 Ph: (920) 431-0200 | New Mom's Of Green Bay Sc 704 S Webster Ave Stop 110 Green Bay WI 54301-3528 Ph: (920) 431-0200 |
| NPI Number | 1558534313 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 12/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558534313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 44616020 (Wisconsin) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 44616020 (Wisconsin) | Primary |
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