Provider Demographics
NPI:1083038384
Name:TOTAL WOMAN HEALTH AND WELLNESS OBGYN
Entity Type:Organization
Organization Name:TOTAL WOMAN HEALTH AND WELLNESS OBGYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-831-0200
Mailing Address - Street 1:450 CRESSON BLVD SUITE 300
Mailing Address - Street 2:
Mailing Address - City:OAKS
Mailing Address - State:PA
Mailing Address - Zip Code:19456-1109
Mailing Address - Country:US
Mailing Address - Phone:484-831-0200
Mailing Address - Fax:
Practice Address - Street 1:609 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 270
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4243
Practice Address - Country:US
Practice Address - Phone:610-233-3350
Practice Address - Fax:610-432-0545
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOMENS HEALTH CARE GROUP OF PENNSYLVANIA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011395450Medicaid
PA085603Medicare PIN