Provider Demographics
NPI:1245596725
Name:CONTEMPORARY GYNECOLOGY, PC
Entity Type:Organization
Organization Name:CONTEMPORARY GYNECOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-928-3200
Mailing Address - Street 1:7940 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1704
Mailing Address - Country:US
Mailing Address - Phone:313-928-3200
Mailing Address - Fax:313-928-0246
Practice Address - Street 1:7940 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1704
Practice Address - Country:US
Practice Address - Phone:313-928-3200
Practice Address - Fax:313-928-0246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017129207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1790976694Medicaid