Provider Demographics
NPI:1285655886
Name:WOMEN OBGYN
Entity type:Organization
Organization Name:WOMEN OBGYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YUDKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-224-2228
Mailing Address - Street 1:2003 MEDICAL PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7992
Mailing Address - Country:US
Mailing Address - Phone:410-224-2228
Mailing Address - Fax:410-266-7778
Practice Address - Street 1:2003 MEDICAL PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7992
Practice Address - Country:US
Practice Address - Phone:410-224-2228
Practice Address - Fax:410-266-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD67510OtherUNITED HEALTH CARE
MDS851WOOtherBLUE SHIELD, MARYLAND
MD11670000OtherBLUE SHIELD, D.C.
MD225047OtherMAMSI/ALLIANCE
MD67510OtherUNITED HEALTH CARE