Provider Demographics
NPI:1346904240
Name:THE WOMEN'S HEALTH CENTER OBGYN, PLLC
Entity Type:Organization
Organization Name:THE WOMEN'S HEALTH CENTER OBGYN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-869-2220
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-0009
Mailing Address - Country:US
Mailing Address - Phone:610-869-2220
Mailing Address - Fax:610-869-6550
Practice Address - Street 1:455 WOODVIEW RD STE 230
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9301
Practice Address - Country:US
Practice Address - Phone:610-869-2220
Practice Address - Fax:610-869-6550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1932179090Medicaid