Healthcare Provider Details

I. General information

NPI: 1437175197
Provider Name (Legal Business Name): WOMEN'S CENTER OB/GYN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 WOODVIEW RD STE 230
WEST GROVE PA
19390-9301
US

IV. Provider business mailing address

455 WOODVIEW RD, SUITE 230 PO BOX 9
WEST GROVE PA
19390
US

V. Phone/Fax

Practice location:
  • Phone: 610-869-2220
  • Fax: 610-869-6550
Mailing address:
  • Phone: 610-869-2220
  • Fax: 610-869-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD063660-L
License Number StatePA

VIII. Authorized Official

Name: DR. GEORGE KEITH HENRY
Title or Position: PHYSICIAN
Credential: MD
Phone: 610-869-2220