Healthcare Provider Details
I. General information
NPI: 1861050577
Provider Name (Legal Business Name): NATURAL WOMEN'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2019
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
727 WELSH RD SUITE 101
HUNTINGDON VALLEY PA
19006
US
IV. Provider business mailing address
950 FRAZIER RD
RYDAL PA
19046-2408
US
V. Phone/Fax
- Phone: 215-939-4251
- Fax:
- Phone: 469-231-9084
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MONIQUE
RUBERU
Title or Position: OWNER
Credential: MD
Phone: 469-231-9084