Healthcare Provider Details

I. General information

NPI: 1407998818
Provider Name (Legal Business Name): JUST FOR WOMEN OB/GYN P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 03/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 AAA BLVD SUITE B
NEWARK DE
19713
US

IV. Provider business mailing address

875 AAA BLVD SUITE B
NEWARK DE
19713-3601
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-9400
  • Fax: 302-224-9409
Mailing address:
  • Phone: 302-224-9400
  • Fax: 302-224-9409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberC1-0004948
License Number StateDE

VIII. Authorized Official

Name: DR. BETH R SCHUBERT
Title or Position: PRESIDENT
Credential:
Phone: 302-224-9400