Provider Demographics
NPI:1528403847
Name:TOLLGATE OBSTETRICS AND GYNECOLOGY MIDWIFERY SERVICES INC
Entity Type:Organization
Organization Name:TOLLGATE OBSTETRICS AND GYNECOLOGY MIDWIFERY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERINAKES
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:401-737-2280
Mailing Address - Street 1:390 TOLL GATE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4488
Mailing Address - Country:US
Mailing Address - Phone:401-737-2280
Mailing Address - Fax:401-732-4638
Practice Address - Street 1:390 TOLL GATE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4488
Practice Address - Country:US
Practice Address - Phone:401-737-2280
Practice Address - Fax:401-732-4638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1093019341176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty