Healthcare Provider Details

I. General information

NPI: 1568467934
Provider Name (Legal Business Name): WOMEN'S HEALTHCARE OF NE PA. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 PARK ST
HONESDALE PA
18431-2023
US

IV. Provider business mailing address

110 PARK ST
HONESDALE PA
18431-2023
US

V. Phone/Fax

Practice location:
  • Phone: 570-253-3005
  • Fax: 570-253-0181
Mailing address:
  • Phone: 570-253-3005
  • Fax: 570-253-0181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. HOON YOO
Title or Position: PRESIDENT
Credential: MD
Phone: 570-253-3005