Organization

New Mom'S Of Green Bay Sc

Maternal & Fetal Medicine Physician in Green Bay, WI(View on Map)

Legal Business Name

New Mom'S Of Green Bay Sc

NPI Number

1558534313

NPI Type

Organization

Enumeration Date

04/11/2008

Specialties

(Taxonomies)

Code

207VM0101X
261Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin

License Number

44616020

Contact
Information

Purpose

Mailing
Location

Address

704 S WEBSTER AVE STOP 110
704 S WEBSTER AVE STOP 110

City

Green Bay
Green Bay

State

WI
WI

Postal Code

54301-3528
54301-3528

Country

US
US

Telephone Number

(920) 431-0200
(920) 431-0200

Authorized Official

Name

Allahyar Jazayeri

Title or Position

PRESIDENT/OWNER

Telephone Number

(920) 338-6868

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/04/2009

Provider Address

Other Maternal & Fetal Medicine Physician in Green Bay, Wisconsin:

Organization

Academic Maternal-fetal Medicine Consultants Sc

Green Bay, WI

Specialty: Maternal & Fetal Medicine Physician (Primary)