Provider Demographics
NPI:1548279318
Name:MOUNDVIEW OBSTETRICS & GYNECOLOGY, INC.
Entity type:Organization
Organization Name:MOUNDVIEW OBSTETRICS & GYNECOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YABLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-344-6904
Mailing Address - Street 1:30 MESSIMER DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1842
Mailing Address - Country:US
Mailing Address - Phone:740-344-6904
Mailing Address - Fax:740-522-5482
Practice Address - Street 1:30 MESSIMER DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1842
Practice Address - Country:US
Practice Address - Phone:740-344-6904
Practice Address - Fax:740-522-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH040236E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty