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NPI Code Detail

MEDICARE: ALL WOMENS HEALTHCARE INC

MEDICARE: ALL WOMENS HEALTHCARE INC
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
1367A00000XAdvanced Practice Midwife
2207V00000XObstetrics & 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 : 1821070061
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL WOMENS HEALTHCARE INC
Provider Business Mailing Address
First Line : 5565 CENTERVIEW DR STE 107
Second Line :
City : RALEIGH
State : NC
Zip : 27606-3563
Country : US
Telephone Number :
Fax Number : 954-839-1960
Provider Business Practice Location Address
First Line : 4105 PEMBROKE RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8103
Country : US
Telephone Number : 954-985-1551
Fax Number : 954-985-2294
Authorized Official
Title or Position : OFFICER
Name : KATHY KONDAS
Credential :
Telephone Number : 973-251-1132
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/11/2021

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Directions to “ALL WOMENS HEALTHCARE INC ” Practice Location

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