Provider Demographics
NPI:1942388988
Name:CONTEMPORARY OBSTETRICS & GYNECOLOGY
Entity Type:Organization
Organization Name:CONTEMPORARY OBSTETRICS & GYNECOLOGY
Other - Org Name:CONTEMPORARY OBSTETRICS AND GYNECOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-685-1691
Mailing Address - Street 1:132 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1829
Mailing Address - Country:US
Mailing Address - Phone:315-685-1691
Mailing Address - Fax:315-685-1695
Practice Address - Street 1:132 NORTH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1829
Practice Address - Country:US
Practice Address - Phone:315-685-1691
Practice Address - Fax:315-685-1695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2081451207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH01981Medicaid