Provider Demographics
NPI:1396804332
Name:DURHAM WOMENS CENTER LLC
Entity type:Organization
Organization Name:DURHAM WOMENS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:STEINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-287-3643
Mailing Address - Street 1:4 ETHEL ROAD
Mailing Address - Street 2:SUITE 402B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817
Mailing Address - Country:US
Mailing Address - Phone:732-287-3643
Mailing Address - Fax:732-287-3406
Practice Address - Street 1:4 ETHEL ROAD
Practice Address - Street 2:SUITE 402B
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817
Practice Address - Country:US
Practice Address - Phone:732-287-3643
Practice Address - Fax:732-287-3406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty