MEDICARE: WOMEN'S HEALTH NETWORK, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1669705208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH NETWORK, LLC

Provider Business Mailing Address
First Line	:	1904 COUNTY LINE RD
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1738
Country	:	US
Telephone Number	:	267-312-4340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1904 COUNTY LINE RD
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1738
Country	:	US
Telephone Number	:	267-312-4340
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ALLA FISHMAN
Credential	:	D.O.
Telephone Number	:	267-312-4340

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	09/15/2009

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