Provider Demographics
NPI:1598872426
Name:A.F.A. OBSTETRICS & GYNECOLOGY, P.C.
Entity Type:Organization
Organization Name:A.F.A. OBSTETRICS & GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIORDANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-371-1396
Mailing Address - Street 1:131 OLD ROAD TO 9 ACRE COR STE 830
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4191
Mailing Address - Country:US
Mailing Address - Phone:978-371-1396
Mailing Address - Fax:978-371-8277
Practice Address - Street 1:131 OLD ROAD TO 9 ACRE COR STE 830
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4191
Practice Address - Country:US
Practice Address - Phone:978-371-1396
Practice Address - Fax:978-371-8277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78814207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty