=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760927941
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOMEN'S HEALTH AND MATERNITY SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2016
-----------------------------------------------------
Last Update Date | 12/28/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 BATH RD SUITE 202
-----------------------------------------------------
City | BRISTOL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19007-3101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-785-9141
-----------------------------------------------------
Fax | 215-785-9825
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 BATH RD SUITE 202
-----------------------------------------------------
City | BRISTOL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19007-3101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-785-9141
-----------------------------------------------------
Fax | 215-785-9825
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICIAN
-----------------------------------------------------
Name | DR. AARON S. HASIUK
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 215-785-9141
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MC024650E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------