Provider Demographics
NPI:1598866634
Name:ASSOCIATED OBSTETRICIANS AND GYNECOLOGISTS, LTD
Entity type:Organization
Organization Name:ASSOCIATED OBSTETRICIANS AND GYNECOLOGISTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOMINICK
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-328-8650
Mailing Address - Street 1:8905 W LINCOLN AVE
Mailing Address - Street 2:SUITE 515
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2468
Mailing Address - Country:US
Mailing Address - Phone:414-328-8650
Mailing Address - Fax:414-328-8660
Practice Address - Street 1:8905 W LINCOLN AVE
Practice Address - Street 2:SUITE 515
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2468
Practice Address - Country:US
Practice Address - Phone:414-328-8650
Practice Address - Fax:414-328-8660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty