Provider Demographics
NPI:1003114125
Name:NEW START WOMENS CARE PLC
Entity Type:Organization
Organization Name:NEW START WOMENS CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUNILDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-536-2413
Mailing Address - Street 1:11435 W BUCKEYE RD
Mailing Address - Street 2:STE 104-450
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-6812
Mailing Address - Country:US
Mailing Address - Phone:623-536-2413
Mailing Address - Fax:623-536-2909
Practice Address - Street 1:700 N ESTRELLA PKWY
Practice Address - Street 2:STE 125
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9271
Practice Address - Country:US
Practice Address - Phone:623-536-2413
Practice Address - Fax:623-536-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ607615Medicaid
AZZ146560Medicare PIN