Provider Demographics
NPI:1578070827
Name:BE WELL WOMEN'S HEALTH
Entity Type:Organization
Organization Name:BE WELL WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ADEBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NNEWIHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-383-4042
Mailing Address - Street 1:2 BAYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-7250
Mailing Address - Country:US
Mailing Address - Phone:609-742-7709
Mailing Address - Fax:
Practice Address - Street 1:611 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1669
Practice Address - Country:US
Practice Address - Phone:609-383-4042
Practice Address - Fax:609-383-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty