Provider Demographics
NPI:1407947781
Name:PHYSICIANS FOR WOMEN
Entity Type:Organization
Organization Name:PHYSICIANS FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-678-6907
Mailing Address - Street 1:1130 KILDAIRE FARM RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4561
Mailing Address - Country:US
Mailing Address - Phone:919-678-6900
Mailing Address - Fax:919-678-6901
Practice Address - Street 1:1130 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 240
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4561
Practice Address - Country:US
Practice Address - Phone:919-678-6900
Practice Address - Fax:919-678-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016A0OtherBCBS