Provider Demographics
NPI:1497824254
Name:WOMEN'S HEALTH CARE OF UNION COUNTY, PA
Entity Type:Organization
Organization Name:WOMEN'S HEALTH CARE OF UNION COUNTY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREISDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-688-8545
Mailing Address - Street 1:950 W CHESTNUT ST
Mailing Address - Street 2:STE 102
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6966
Mailing Address - Country:US
Mailing Address - Phone:908-688-8545
Mailing Address - Fax:908-688-0143
Practice Address - Street 1:950 W CHESTNUT ST
Practice Address - Street 2:STE 102
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6966
Practice Address - Country:US
Practice Address - Phone:908-688-8545
Practice Address - Fax:908-688-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ610404Medicare ID - Type Unspecified