| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Obstetrics & Gynecology |
| DEFINITION | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| AREA OF SPECIALIZATION | Reproductive Endocrinology |
| STATUS | Active |
| VA CODE | V181806 |
| X12 CODE | 207VE0102X |
| SPECIALTY CODE | 16 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251763 |
| EFFECTIVE DATE/TIME |
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