Provider Demographics
NPI:1154758928
Name:COMPLETE OBSTETRICS & GYNECOLOGY CARE
Entity type:Organization
Organization Name:COMPLETE OBSTETRICS & GYNECOLOGY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-474-4347
Mailing Address - Street 1:7525 GREENWAY CENTER DRIVE
Mailing Address - Street 2:#208
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3525
Mailing Address - Country:US
Mailing Address - Phone:304-474-4347
Mailing Address - Fax:301-474-0169
Practice Address - Street 1:7525 GREENWAY CENTER DRIVE
Practice Address - Street 2:#208
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:304-474-4347
Practice Address - Fax:301-474-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty