Provider Demographics
NPI:1699944884
Name:CONTEMPORARY FAMILY MEDICINE, PLLC
Entity type:Organization
Organization Name:CONTEMPORARY FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOLLOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-458-2001
Mailing Address - Street 1:1777 AXTELL DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4404
Mailing Address - Country:US
Mailing Address - Phone:248-458-2001
Mailing Address - Fax:248-458-2011
Practice Address - Street 1:1777 AXTELL DR
Practice Address - Street 2:SUITE 109
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4404
Practice Address - Country:US
Practice Address - Phone:248-458-2001
Practice Address - Fax:248-458-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty