Provider Demographics
NPI:1346829439
Name:BUCKS COUNTY WOMENS WELLNESS LLC
Entity Type:Organization
Organization Name:BUCKS COUNTY WOMENS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-874-4200
Mailing Address - Street 1:2325 HERITAGE CENTER DRIVE
Mailing Address - Street 2:STE 605
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1262
Mailing Address - Country:US
Mailing Address - Phone:215-874-4200
Mailing Address - Fax:215-918-8808
Practice Address - Street 1:2325 HERITAGE CENTER DRIVE
Practice Address - Street 2:STE 605
Practice Address - City:FURLONG
Practice Address - State:PA
Practice Address - Zip Code:18925-1892
Practice Address - Country:US
Practice Address - Phone:215-874-4200
Practice Address - Fax:215-918-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty