Healthcare Provider Details

I. General information

NPI: 1487785853
Provider Name (Legal Business Name): HEALTH CARE FOR WOMEN P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W HIGH ST STE 207
ELKTON MD
21921-8611
US

IV. Provider business mailing address

111 W HIGH ST STE 207
ELKTON MD
21921-8611
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-0590
  • Fax: 410-392-9408
Mailing address:
  • Phone: 410-398-0590
  • Fax: 410-392-9408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0021647
License Number StateMD

VIII. Authorized Official

Name: DR. MILAN SORIANO BALTAZAR
Title or Position: OWNER
Credential: M.D.
Phone: 410-398-0590