Chattanoogas Program In Womens Oncology INC
Obstetrics & Gynecology, Gynecologic Oncology in Chattanooga, TN. Organization (NPI-2).
NPI number1811072689
StatusActive
Last updated in NPPESNov 12, 2009
Details
- NPI
- 1811072689
- Entity type
- Organization (NPI-2)
- Legal business name
- Chattanoogas Program In Womens Oncology INC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2006
- Last updated
- Nov 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 35113 | TN | Yes |
Practice location
102 Central AveChattanooga, TN 37403-1503
Phone 423-266-3636 · Fax 423-266-3633
Mailing address
102 Central AveChattanooga, TN 37403-1503
Phone 423-266-3636 · Fax 423-266-3633
Authorized official
Stephen E. Depasquale
Physician
4232663636
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