Healthcare Provider Details

I. General information

NPI: 1710906821
Provider Name (Legal Business Name): A WOMAN'S PLACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 SYCAMORE AVE 2A
LITTLE SILVER NJ
07739-1228
US

IV. Provider business mailing address

34 SYCAMORE AVE 2A
LITTLE SILVER NJ
07739-1228
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-9310
  • Fax: 732-747-9320
Mailing address:
  • Phone: 732-747-9310
  • Fax: 732-747-9320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANTHONY P GIOVINE
Title or Position: OWNER
Credential: D.O.
Phone: 732-747-9310