Organization · Type 2 NPI

Civista Clinical Services, LLC

Obstetrics & Gynecology Physician · La Plata, MD

NPI number 1205035805 Active

Practice location

605 East Charles Street
La Plata, MD 20646

Fax (301) 609-5220

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Another provider at this address

Erica Camille Contreras, MDObstetrics & Gynecology Physician La Plata, MD NPI 1922202696

NPI record

NPI: 1205035805
Entity type: Organization (Type 2)
Issued: Jul 13, 2007
Last updated: May 15, 2015
Status: Active
Subpart: Yes of Civista Clinical Services, LLC

Other names

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University of Maryland Charles Regional Ob/gyn · doing business as

Authorized official

Stephanie Simm
Physician Relations Specialists
(301) 609-4539

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205035805

Civista Clinical Services, LLC's National Provider Identifier is 1205035805, issued on Jul 13, 2007. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in La Plata, MD. The record was last updated on May 15, 2015.