Healthcare Provider Details

I. General information

NPI: 1972420693
Provider Name (Legal Business Name): THE WELL WOMAN CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 EAGLEVIEW BLVD STE 303
EXTON PA
19341-1159
US

IV. Provider business mailing address

707 EAGLEVIEW BLVD STE 303
EXTON PA
19341-1159
US

V. Phone/Fax

Practice location:
  • Phone: 347-813-9099
  • Fax: 610-594-2625
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: SONIA SHAH
Title or Position: OWNER
Credential: MD
Phone: 347-813-9099