Provider Demographics
NPI:1609499649
Name:VERNON WOMEN HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:VERNON WOMEN HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KWAME
Authorized Official - Middle Name:O
Authorized Official - Last Name:AMPONSAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-752-7270
Mailing Address - Street 1:10 WINTHROP ST STE 312
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-4437
Mailing Address - Country:US
Mailing Address - Phone:508-459-2706
Mailing Address - Fax:
Practice Address - Street 1:10 WINTHROP ST STE 312
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-4437
Practice Address - Country:US
Practice Address - Phone:508-459-2706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty