Provider Demographics
NPI:1235233875
Name:UNIVERSITY OB-GYN, INC
Entity Type:Organization
Organization Name:UNIVERSITY OB-GYN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-434-7747
Mailing Address - Street 1:450 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-5300
Mailing Address - Country:US
Mailing Address - Phone:401-434-7747
Mailing Address - Fax:404-434-7891
Practice Address - Street 1:450 VETERANS MEMORIAL PKWY
Practice Address - Street 2:SUITE 401
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-5300
Practice Address - Country:US
Practice Address - Phone:401-434-7747
Practice Address - Fax:404-434-7891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty