Provider Demographics
NPI:1780250480
Name:GYNESONICS INC
Entity type:Organization
Organization Name:GYNESONICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZATION SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:CCA
Authorized Official - Phone:650-207-4378
Mailing Address - Street 1:600 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-4742
Mailing Address - Country:US
Mailing Address - Phone:650-241-6129
Mailing Address - Fax:833-712-1521
Practice Address - Street 1:600 CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-4742
Practice Address - Country:US
Practice Address - Phone:650-241-6129
Practice Address - Fax:833-712-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Single Specialty