MEDICARE: WOMEN'S CARE, LLC

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
1	207V00000X	Obstetrics & Gynecology Physician		MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J516	OTHER	MD	FEP/BLUE CHOICE/CAPITOL
2	573A	OTHER	MD	CAREFIRST BLUE SHIELD

General Provider Information

NPI Number	:	1982696597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S CARE, LLC

Provider Business Mailing Address
First Line	:	9055 CHEVROLET DR
Second Line	:	SUITE 102
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-4016
Country	:	US
Telephone Number	:	410-203-0600
Fax Number	:	410-203-2851

Provider Business Practice Location Address
First Line	:	9055 CHEVROLET DR
Second Line	:	SUITE 102
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-4016
Country	:	US
Telephone Number	:	410-203-0600
Fax Number	:	410-203-2851

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAUREEN N. MUONEKE
Credential	:	M.D.
Telephone Number	:	410-203-0600

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/21/2022

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Directions to “WOMEN'S CARE, LLC ” Practice Location

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