Provider Demographics
NPI:1669683256
Name:ADVANCED WOMEN'S CARE PC
Entity Type:Organization
Organization Name:ADVANCED WOMEN'S CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BILYAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-934-5958
Mailing Address - Street 1:827 BARLOW ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-2533
Mailing Address - Country:US
Mailing Address - Phone:215-934-5958
Mailing Address - Fax:
Practice Address - Street 1:10752 BUSTLETON AVE UNIT C
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3367
Practice Address - Country:US
Practice Address - Phone:215-677-2453
Practice Address - Fax:215-677-2261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419993207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty