Provider Demographics
NPI:1538287719
Name:MIDWIFERY & WOMEN'S HEALTHCARE SPECIALTIES
Entity Type:Organization
Organization Name:MIDWIFERY & WOMEN'S HEALTHCARE SPECIALTIES
Other - Org Name:MIDWIFERY AND WOMENS HEALTHCARE SPECIALTIES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JASPAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MSN
Authorized Official - Phone:215-340-9027
Mailing Address - Street 1:58 E OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4651
Mailing Address - Country:US
Mailing Address - Phone:215-340-9027
Mailing Address - Fax:215-340-2447
Practice Address - Street 1:58 E OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4651
Practice Address - Country:US
Practice Address - Phone:215-340-9027
Practice Address - Fax:215-340-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007938L207V00000X
PASP007958363LX0001X
PAMW008238L367A00000X
PAMW008327L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty