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NPI Code Detail

MEDICARE: REGIONAL WOMEN'S HEALTH GROUP, LLC

MEDICARE: REGIONAL WOMEN'S HEALTH GROUP, 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
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760437164
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL WOMEN'S HEALTH GROUP, LLC
Provider Business Mailing Address
First Line : 227 LAUREL RD
Second Line : STE 300
City : VOORHEES
State : NJ
Zip : 08043-8303
Country : US
Telephone Number : 856-669-6050
Fax Number : 856-651-0794
Provider Business Practice Location Address
First Line : 406 E GIBBSBORO RD
Second Line :
City : LINDENWOLD
State : NJ
Zip : 08021-1907
Country : US
Telephone Number : 856-435-7007
Fax Number : 856-435-7077
Authorized Official
Title or Position : CEO
Name : FRANK J CASO
Credential :
Telephone Number : 856-669-6050
Provider Enumeration Date : 05/23/2006
Last Update Date : 11/09/2012

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