Healthcare Provider Details
I. General information
NPI: 1922193408
Provider Name (Legal Business Name): WOMEN'S HEALTH CARE ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2003 MEDICAL PKWY SUITE 300
ANNAPOLIS MD
21401-7992
US
IV. Provider business mailing address
2003 MEDICAL PKWY SUITE 300
ANNAPOLIS MD
21401-7992
US
V. Phone/Fax
- Phone: 410-266-6035
- Fax: 410-266-9284
- Phone: 410-266-6035
- Fax: 410-266-9284
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | D35496 |
| License Number State | MD |
VIII. Authorized Official
Name:
DEBRA
KAYE
HARDY-CARTWRIGHT
Title or Position: OWNER
Credential: MD
Phone: 410-266-6035