Healthcare Provider Details

I. General information

NPI: 1063437242
Provider Name (Legal Business Name): JANET DENISE OBER MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N BROAD ST 7TH FLOOR, OUT PATIENT BUILDING
PHILADELPHIA PA
19140-5103
US

IV. Provider business mailing address

355 MCINTOSH RD
WEST CHESTER PA
19382-1980
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-1657
  • Fax: 215-707-5995
Mailing address:
  • Phone: 848-218-8279
  • Fax: 215-707-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: