Healthcare Provider Details

I. General information

NPI: 1437179645
Provider Name (Legal Business Name): HEALTH SERVICES FOR WOMEN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 NEHRIG HILL RD
ARDARA PA
15615-9739
US

IV. Provider business mailing address

3801 NEHRIG HILL RD
ARDARA PA
15615-9739
US

V. Phone/Fax

Practice location:
  • Phone: 412-856-5438
  • Fax: 412-856-7279
Mailing address:
  • Phone: 412-856-5438
  • Fax: 412-856-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD063871L
License Number StatePA

VIII. Authorized Official

Name: KATHY LYNNE GALLA-ELIZEUS
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 412-841-4085