Provider Demographics
NPI:1063688950
Name:CRANFORD OB/GYN AND INFERTILITY GROUP
Entity Type:Organization
Organization Name:CRANFORD OB/GYN AND INFERTILITY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-686-4334
Mailing Address - Street 1:118 SOUTH AVE E
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2944
Mailing Address - Country:US
Mailing Address - Phone:908-709-8090
Mailing Address - Fax:908-272-1744
Practice Address - Street 1:118 SOUTH AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2944
Practice Address - Country:US
Practice Address - Phone:908-709-8090
Practice Address - Fax:908-272-1744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty