Healthcare Provider Details

I. General information

NPI: 1952396038
Provider Name (Legal Business Name): READING OB-GYN P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 PERKIOMEN AVE
READING PA
19606-2739
US

IV. Provider business mailing address

3701 PERKIOMEN AVE
READING PA
19606-2739
US

V. Phone/Fax

Practice location:
  • Phone: 610-779-6550
  • Fax: 670-779-8295
Mailing address:
  • Phone: 610-779-6550
  • Fax: 670-779-8295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberOS004956L
License Number StatePA

VIII. Authorized Official

Name: DR. DOMINIC J CAMMARANO III
Title or Position: OWNER/DOCTOR/PRESIDENT
Credential: D.O.
Phone: 610-779-6550