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General NPI Number Information
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NPI Number | 1942391149
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Entity Type | Organization
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Legal Business Name | PHYSICIANS FOR WOMEN, PA
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 RATZER RD SUITE 7
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City | WAYNE
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State | NJ
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Zip | 07470-7702
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Country | US
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Telephone | 973-694-2222
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Fax | 973-694-5184
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Provider Business Mailing Address
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Address Line | 330 RATZER RD SUITE 7
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City | WAYNE
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State | NJ
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Zip | 07470-7702
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Country | US
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Telephone | 973-694-2222
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Fax | 973-694-5184
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LEONARD NICOSIA
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Credential | M.D.
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Telephone | 973-694-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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