Provider Demographics
NPI:1588757793
Name:GYNECOLOGY AND INFERTILITY ASSOCIATES, PA
Entity type:Organization
Organization Name:GYNECOLOGY AND INFERTILITY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:SOFFEN
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-749-4963
Mailing Address - Street 1:15 OLD ROLLINSFORD RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2868
Mailing Address - Country:US
Mailing Address - Phone:603-749-4963
Mailing Address - Fax:603-742-7094
Practice Address - Street 1:15 OLD ROLLINSFORD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2868
Practice Address - Country:US
Practice Address - Phone:603-749-4963
Practice Address - Fax:603-742-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81163484Medicaid
NH81163484Medicaid