Provider Demographics
NPI:1346354180
Name:BEN FRANKLIN OB-GYN, INC
Entity Type:Organization
Organization Name:BEN FRANKLIN OB-GYN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:724-463-0225
Mailing Address - Street 1:1265 WAYNE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3501
Mailing Address - Country:US
Mailing Address - Phone:724-463-7210
Mailing Address - Fax:724-463-7326
Practice Address - Street 1:1265 WAYNE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3501
Practice Address - Country:US
Practice Address - Phone:724-463-7210
Practice Address - Fax:724-463-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020809E207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB37499Medicare UPIN