Provider Demographics
NPI:1538294533
Name:CENTER FOR GYNECOLOGY & FERTILITY, INC.
Entity Type:Organization
Organization Name:CENTER FOR GYNECOLOGY & FERTILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-272-0911
Mailing Address - Street 1:1103 N. ELM ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401
Mailing Address - Country:US
Mailing Address - Phone:336-272-0911
Mailing Address - Fax:336-274-4449
Practice Address - Street 1:1103 N. ELM ST
Practice Address - Street 2:SUITE 302
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401
Practice Address - Country:US
Practice Address - Phone:336-272-0911
Practice Address - Fax:336-274-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27256207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8958766Medicaid
NC8958766Medicaid