Provider Demographics
NPI:1043347040
Name:WOMENS HEALTHCARE GROUP OF PENNSYLVANIA
Entity Type:Organization
Organization Name:WOMENS HEALTHCARE GROUP OF PENNSYLVANIA
Other - Org Name:SCOTT BAILEY DIVISION
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-658-5266
Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:SUITE 216 SOUTH
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-658-5266
Mailing Address - Fax:610-658-0963
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 216 SOUTH
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-658-5266
Practice Address - Fax:610-658-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044655E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA420706TGWMedicare ID - Type Unspecified
PA067549TGWMedicare ID - Type Unspecified
PAH79360Medicare UPIN
PAA60120Medicare UPIN