Provider Demographics
NPI:1407863699
Name:WOMEN'S HEALTH CARE GROUP OF PA, MAIN LINE WOMEN'S HEALTH CARE DIV.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH CARE GROUP OF PA, MAIN LINE WOMEN'S HEALTH CARE DIV.
Other - Org Name:MAIN LINE WOMEN'S HEALTH CARE ASSOC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOOKKEEPING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-525-3098
Mailing Address - Street 1:1030 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1451
Mailing Address - Country:US
Mailing Address - Phone:610-525-3098
Mailing Address - Fax:610-525-4932
Practice Address - Street 1:1030 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1451
Practice Address - Country:US
Practice Address - Phone:610-525-3098
Practice Address - Fax:610-525-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2330379000OtherIBC/PERSONAL CHOICE&KEYS.
PA2330379000OtherIBC/PERSONAL CHOICE&KEYS.