Healthcare Provider Details

I. General information

NPI: 1639131238
Provider Name (Legal Business Name): TOTAL WOMENS HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HAMILTON ST STE 111
ALLENTOWN PA
18104-6329
US

IV. Provider business mailing address

2200 HAMILTON ST STE 111
ALLENTOWN PA
18104-6329
US

V. Phone/Fax

Practice location:
  • Phone: 610-821-8321
  • Fax: 610-232-7952
Mailing address:
  • Phone: 610-821-8321
  • Fax: 610-232-7952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD064117L
License Number StatePA

VIII. Authorized Official

Name: DR. JOHN J SCAFFIDI JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 610-821-8321