MEDICARE: CENTER FOR WOMENS HEALTH OF LANSDALE 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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CK2080	OTHER	PA	TRAVELERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1364742	OTHER		HIGHMARK BS

General Provider Information

NPI Number	:	1699746347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR WOMENS HEALTH OF LANSDALE LLC

Provider Business Mailing Address
First Line	:	1000 WALNUT ST
Second Line	:	SUITE 122
City	:	LANSDALE
State	:	PA
Zip	:	19446-1125
Country	:	US
Telephone Number	:	215-368-1950
Fax Number	:	215-368-9923

Provider Business Practice Location Address
First Line	:	1000 WALNUT ST
Second Line	:	SUITE 122
City	:	LANSDALE
State	:	PA
Zip	:	19446-1125
Country	:	US
Telephone Number	:	215-368-1950
Fax Number	:	215-368-9923

Authorized Official
Title or Position	:	PARTNER
Name	:	ROBERT FILOSA
Credential	:	MD
Telephone Number	:	215-368-1950

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	12/13/2007

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Directions to “CENTER FOR WOMENS HEALTH OF LANSDALE LLC ” Practice Location

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