Provider Demographics
NPI:1376678235
Name:WOMEN'S HEALTH CARE OF WARREN, PA
Entity Type:Organization
Organization Name:WOMEN'S HEALTH CARE OF WARREN, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PREGENZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-469-9400
Mailing Address - Street 1:65 MOUNTAIN BLVD EXT
Mailing Address - Street 2:SUITE201
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059
Mailing Address - Country:US
Mailing Address - Phone:732-469-9400
Mailing Address - Fax:732-469-0036
Practice Address - Street 1:65 MOUNTAIN BLVD EXT
Practice Address - Street 2:SUITE 201
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059
Practice Address - Country:US
Practice Address - Phone:732-469-9400
Practice Address - Fax:732-469-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ074594Medicare UPIN