Provider Demographics
NPI:1043215742
Name:COMPREHENSIVE WOMEN'S HEALTH SERVICES, P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE WOMEN'S HEALTH SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPTOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-628-2229
Mailing Address - Street 1:171 RED HORSE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-8898
Mailing Address - Country:US
Mailing Address - Phone:570-628-2229
Mailing Address - Fax:570-628-5185
Practice Address - Street 1:171 RED HORSE RD
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-8898
Practice Address - Country:US
Practice Address - Phone:570-628-2229
Practice Address - Fax:570-628-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006936L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty