Provider Demographics
NPI:1275592768
Name:WOMEN'S HEALTHCARE GROUP OF PA HEALTH CARE FOR WOMEN ONLY DIVISION
Entity Type:Organization
Organization Name:WOMEN'S HEALTHCARE GROUP OF PA HEALTH CARE FOR WOMEN ONLY DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-326-7172
Mailing Address - Street 1:13 ARMAND HAMMER BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5067
Mailing Address - Country:US
Mailing Address - Phone:610-326-7172
Mailing Address - Fax:610-326-0974
Practice Address - Street 1:13 ARMAND HAMMER BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5067
Practice Address - Country:US
Practice Address - Phone:610-326-7172
Practice Address - Fax:610-326-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5017320OtherAETNA
PA1652863OtherHIGHMARK
PA2330381000OtherKEYSTONE & PERSONAL CHOIC
PA085603Medicare ID - Type Unspecified