1538287719 NPI number — MIDWIFERY & WOMEN'S HEALTHCARE SPECIALTIES

Table of content: (NPI 1538287719)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538287719 NPI number — MIDWIFERY & WOMEN'S HEALTHCARE SPECIALTIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDWIFERY & WOMEN'S HEALTHCARE SPECIALTIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MIDWIFERY AND WOMENS HEALTHCARE SPECIALTIES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538287719
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
58 E OAKLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOYLESTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18901-4651
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-340-9027
Provider Business Mailing Address Fax Number:
215-340-2447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
58 E OAKLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOYLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18901-4651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-340-9027
Provider Business Practice Location Address Fax Number:
215-340-2447
Provider Enumeration Date:
03/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JASPAN
Authorized Official First Name:
ANN
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
PRACTICE DIRECTOR
Authorized Official Telephone Number:
215-340-9027

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  OS007938L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LX0001X , with the licence number: SP007958 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367A00000X , with the licence number: MW008238L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367A00000X , with the licence number: MW008327L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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