Provider Demographics
NPI:1659609980
Name:ABOUT WOMENS HEALTH MEDICAL GROUP
Entity Type:Organization
Organization Name:ABOUT WOMENS HEALTH MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRELLET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-356-7360
Mailing Address - Street 1:15251 NATIONAL AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2400
Mailing Address - Country:US
Mailing Address - Phone:408-358-7360
Mailing Address - Fax:
Practice Address - Street 1:15251 NATIONAL AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2400
Practice Address - Country:US
Practice Address - Phone:408-358-7360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty