| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Obstetrics & Gynecology |
| DEFINITION | An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| AREA OF SPECIALIZATION | Gynecologic Oncology |
| STATUS | Active |
| VA CODE | V181802 |
| X12 CODE | 207VX0201X |
| SPECIALTY CODE | 16 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251781 |
| EFFECTIVE DATE/TIME |
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