Provider Demographics
NPI:1699835116
Name:WOMEN'S HEALTH CENTER AT RARITAN PA
Entity Type:Organization
Organization Name:WOMEN'S HEALTH CENTER AT RARITAN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D,
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARLAVECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-252-1522
Mailing Address - Street 1:1130 US HIGHWAY 202
Mailing Address - Street 2:BLDG.A
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1490
Mailing Address - Country:US
Mailing Address - Phone:908-252-1522
Mailing Address - Fax:908-252-4546
Practice Address - Street 1:1130 US HIGHWAY 202
Practice Address - Street 2:BLDG.A
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1490
Practice Address - Country:US
Practice Address - Phone:908-252-1522
Practice Address - Fax:908-252-4546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03775300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ071390Medicare PIN
NJE54132Medicare UPIN