=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407947781
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHYSICIANS FOR WOMEN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1130 KILDAIRE FARM RD SUITE 240
-----------------------------------------------------
City | CARY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27511-4561
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-678-6900
-----------------------------------------------------
Fax | 919-678-6901
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1130 KILDAIRE FARM RD SUITE 240
-----------------------------------------------------
City | CARY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27511-4561
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-678-6900
-----------------------------------------------------
Fax | 919-678-6901
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE ADMINISTRATOR
-----------------------------------------------------
Name | MS. MARICIA RAMIREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 919-678-6907
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------