Provider Demographics
NPI:1629577804
Name:PERINATAL DIAGNOSTIC CENTERS OF NEW YORK & NEW JERSEY
Entity Type:Organization
Organization Name:PERINATAL DIAGNOSTIC CENTERS OF NEW YORK & NEW JERSEY
Other - Org Name:PDC ULTRASOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GUIRGUIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO, FACOG, MFM
Authorized Official - Phone:305-906-1797
Mailing Address - Street 1:104 HUDSON ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5795
Mailing Address - Country:US
Mailing Address - Phone:833-732-1131
Mailing Address - Fax:201-608-0497
Practice Address - Street 1:104 HUDSON ST STE 2A
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5795
Practice Address - Country:US
Practice Address - Phone:833-732-1131
Practice Address - Fax:201-608-0497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2844091207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty