Provider Demographics
NPI:1821157991
Name:CONTEMPORARY OBSTETRICS & GYNECOLOGY ASSOCIATES, PLC
Entity Type:Organization
Organization Name:CONTEMPORARY OBSTETRICS & GYNECOLOGY ASSOCIATES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-671-2110
Mailing Address - Street 1:1651 KINGSWAY CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1959
Mailing Address - Country:US
Mailing Address - Phone:734-671-2110
Mailing Address - Fax:
Practice Address - Street 1:1651 KINGSWAY CT
Practice Address - Street 2:SUITE A
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-1959
Practice Address - Country:US
Practice Address - Phone:734-671-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5101013133OtherLICENSE
MI5101013133OtherLICENSE
MI0P39240Medicare PIN