Healthcare Provider Details

I. General information

NPI: 1497003982
Provider Name (Legal Business Name): REGIONAL WOMEN'S HEALTH GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WHITE RD STE 214
LITTLE SILVER NJ
07739-1150
US

IV. Provider business mailing address

227 LAUREL RD STE 300
VOORHEES NJ
08043-8303
US

V. Phone/Fax

Practice location:
  • Phone: 732-758-6511
  • Fax: 732-758-1048
Mailing address:
  • Phone: 856-669-6050
  • Fax: 856-651-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANK J CASO
Title or Position: CEO
Credential:
Phone: 856-669-6050