Provider Demographics
NPI:1922600931
Name:ONE TO ONE GYN WESTFORD PC
Entity Type:Organization
Organization Name:ONE TO ONE GYN WESTFORD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CREDENTIALING
Authorized Official - Phone:502-244-9859
Mailing Address - Street 1:2 LAN DR STE 203
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3550
Mailing Address - Country:US
Mailing Address - Phone:502-244-9859
Mailing Address - Fax:770-573-9513
Practice Address - Street 1:2 LAN DR STE 203
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3550
Practice Address - Country:US
Practice Address - Phone:502-244-9859
Practice Address - Fax:770-573-9513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty