Provider Demographics
NPI:1790237121
Name:WINCHESTER OB/GYN ASSOCIATES
Entity Type:Organization
Organization Name:WINCHESTER OB/GYN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-721-4701
Mailing Address - Street 1:1021 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1969
Mailing Address - Country:US
Mailing Address - Phone:781-721-4701
Mailing Address - Fax:781-729-5262
Practice Address - Street 1:1021 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1969
Practice Address - Country:US
Practice Address - Phone:781-721-4701
Practice Address - Fax:781-729-5262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINCHESTER OB/GYN ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty