Provider Demographics
NPI:1932793080
Name:COMPREHENSIVE OBSTETRICS AND GYNECOLOGY OF THE VIRGIN ISLANDS
Entity Type:Organization
Organization Name:COMPREHENSIVE OBSTETRICS AND GYNECOLOGY OF THE VIRGIN ISLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-776-2496
Mailing Address - Street 1:PO BOX 303190
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-3190
Mailing Address - Country:US
Mailing Address - Phone:340-776-2496
Mailing Address - Fax:888-686-4557
Practice Address - Street 1:9149 SUGAR ESTATE STE 204
Practice Address - Street 2:
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2613
Practice Address - Country:US
Practice Address - Phone:340-776-2496
Practice Address - Fax:888-686-4557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty