Healthcare Provider Details

I. General information

NPI: 1124141908
Provider Name (Legal Business Name): HEALTHCARE FOR WOMEN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 KIPLING AVENUE SUITE G09
CINCINNATI OH
45239-6699
US

IV. Provider business mailing address

2450 KIPLING AVENUE SUITE G09
CINCINNATI OH
45239-6699
US

V. Phone/Fax

Practice location:
  • Phone: 513-542-8700
  • Fax: 513-542-8712
Mailing address:
  • Phone: 513-542-8700
  • Fax: 513-542-8712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19312
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0741899
License Number StateOH

VIII. Authorized Official

Name: MR. ARMANDO ABEL CORTEZ
Title or Position: MD
Credential: MD
Phone: 513-542-8700