Provider Demographics
NPI:1386924280
Name:OBGYN4U, L.L.C.
Entity type:Organization
Organization Name:OBGYN4U, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:SEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-840-1200
Mailing Address - Street 1:19785 CRYSTAL ROCK DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4700
Mailing Address - Country:US
Mailing Address - Phone:301-840-1200
Mailing Address - Fax:240-331-9176
Practice Address - Street 1:19785 CRYSTAL ROCK DR
Practice Address - Street 2:SUITE 208
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4700
Practice Address - Country:US
Practice Address - Phone:301-840-1200
Practice Address - Fax:240-331-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical