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NPI Code Detail

MEDICARE: WOMEN'S HEALTHCARE OF NE PA. PC

MEDICARE: WOMEN'S HEALTHCARE OF NE PA. PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568467934
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S HEALTHCARE OF NE PA. PC
Provider Business Mailing Address
First Line : 110 PARK ST
Second Line :
City : HONESDALE
State : PA
Zip : 18431-2023
Country : US
Telephone Number : 570-253-3005
Fax Number : 570-253-0181
Provider Business Practice Location Address
First Line : 110 PARK ST
Second Line :
City : HONESDALE
State : PA
Zip : 18431-2023
Country : US
Telephone Number : 570-253-3005
Fax Number : 570-253-0181
Authorized Official
Title or Position : PRESIDENT
Name : DR. HOON YOO
Credential : MD
Telephone Number : 570-253-3005
Provider Enumeration Date : 06/14/2005
Last Update Date : 08/22/2020

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18431-2023
Practice Phone: 570-253-3005
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1942380308 — WOMEN'S HEALTH CARE OF NE PA, PC
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1639349996 — DENISE C VIOLA D.O.
Practice Location Address:
110 PARK ST
HONESDALE, PA
18431-2023
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1073829289 — JOANNE F PELLICANE MD
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1497269138 — CHRISTINA MACDOWELL CNM
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