Healthcare Provider Details

I. General information

NPI: 1104044783
Provider Name (Legal Business Name): SOUTHFIELD OBSTETRICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 09/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30400 TELEGRAPH RD SUITE 350
BINGHAM FARMS MI
48025-5814
US

IV. Provider business mailing address

30400 TELEGRAPH RD SUITE 350
BINGHAM FARMS MI
48025-5814
US

V. Phone/Fax

Practice location:
  • Phone: 248-353-9460
  • Fax: 248-353-8084
Mailing address:
  • Phone: 248-353-9460
  • Fax: 248-353-8084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEON HOCHMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 248-353-9460