Healthcare Provider Details
I. General information
NPI: 1346904240
Provider Name (Legal Business Name): THE WOMEN'S HEALTH CENTER OBGYN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
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
PO BOX 9
WEST GROVE PA
19390-0009
US
V. Phone/Fax
- Phone: 610-869-2220
- Fax: 610-869-6550
- Phone: 610-869-2220
- Fax: 610-869-6550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEORGE
HENRY
Title or Position: PRESIDENT
Credential: MD
Phone: 610-869-2220