Basic Information
Provider Information
NPI: 1871519405
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEUWIRTH
FirstName: SAFRIR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 536
Address2:  
City: VOORHEES
State: NJ
PostalCode: 080430536
CountryCode: US
TelephoneNumber: 8566696050
FaxNumber: 8566510794
Practice Location
Address1: 501 IRONBRIDGE RD
Address2: SUITE 10
City: FREEHOLD
State: NJ
PostalCode: 07728
CountryCode: US
TelephoneNumber: 7324312999
FaxNumber: 7324312993
Other Information
ProviderEnumerationDate: 07/15/2006
LastUpdateDate: 08/28/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X68892NJY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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