Provider Demographics
NPI:1770527400
Name:GYNECOLOGY ASSOCIATES LTD PLLC
Entity type:Organization
Organization Name:GYNECOLOGY ASSOCIATES LTD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-627-0241
Mailing Address - Street 1:PO BOX 7520
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509
Mailing Address - Country:US
Mailing Address - Phone:757-627-0241
Mailing Address - Fax:757-622-8898
Practice Address - Street 1:2810 TIDEWATER DR.
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VI
Practice Address - Zip Code:23509
Practice Address - Country:US
Practice Address - Phone:757-627-0241
Practice Address - Fax:757-622-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty