Provider Demographics
NPI:1023029352
Name:THE CENTER FOR FERTILITY & GYNECOLOGY INC
Entity Type:Organization
Organization Name:THE CENTER FOR FERTILITY & GYNECOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:TIPPET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-933-3310
Mailing Address - Street 1:6400 BROOKTREE CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9271
Mailing Address - Country:US
Mailing Address - Phone:724-933-3310
Mailing Address - Fax:724-933-3320
Practice Address - Street 1:6400 BROOKTREE CT
Practice Address - Street 2:SUITE 100
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9271
Practice Address - Country:US
Practice Address - Phone:724-933-3310
Practice Address - Fax:724-933-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041136E261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center