Healthcare Provider Details
I. General information
NPI: 1376602441
Provider Name (Legal Business Name): WESTWOOD WOMEN'S HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 JESSUP RD
PAULSBORO NJ
08066-2413
US
IV. Provider business mailing address
600 JESSUP RD
PAULSBORO NJ
08066-2413
US
V. Phone/Fax
- Phone: 856-845-4061
- Fax: 856-384-1770
- Phone: 856-845-4061
- Fax: 856-384-1770
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
BENJAMIN
D
DIJOSEPH
JR.
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 856-845-4061