1568542280 NPI number — CARING FOR WOMEN OB GYN PC

Table of content: (NPI 1568542280)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568542280 NPI number — CARING FOR WOMEN OB GYN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING FOR WOMEN OB GYN PC
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:
Provider Other Organization Name Type Code:
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:
1568542280
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4051 FREEMANSBURG AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18045
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-559-7474
Provider Business Mailing Address Fax Number:
610-559-9276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4051 FREEMANSBURG AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-559-7474
Provider Business Practice Location Address Fax Number:
610-559-9276
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BURGEY
Authorized Official First Name:
GAIL
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-559-7474

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: BU742063 . This is a "BCBS DR BURGEY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2205639 . This is a "USHC DR LAMB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: LA434810 . This is a "BCBS DR LAMB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2216901 . This is a "USHC GRP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0451978 . This is a "USHC DR BURGEY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CA256577 . This is a "BCBS GRP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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