Basic Information
Provider Information
NPI: 1114988771
EntityType: 2
ReplacementNPI:  
OrganizationName: WOMEN'S HEALTH CARE GROUP OF PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: WOMEN'S HEALTH CARE
OtherOrganizationType: 5
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 1597 MEDICAL DR
Address2:  
City: POTTSTOWN
State: PA
PostalCode: 194643224
CountryCode: US
TelephoneNumber: 6103266732
FaxNumber: 6103269652
Practice Location
Address1: 1597 MEDICAL DR
Address2:  
City: POTTSTOWN
State: PA
PostalCode: 194643224
CountryCode: US
TelephoneNumber: 6103266732
FaxNumber: 6103269652
Other Information
ProviderEnumerationDate: 03/31/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WILKINS
AuthorizedOfficialFirstName: BONNIE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OFFICE MANAGER
AuthorizedOfficialTelephone: 6103266732
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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