Provider Demographics
NPI:1710906821
Name:A WOMAN'S PLACE, LLC
Entity Type:Organization
Organization Name:A WOMAN'S PLACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:GIOVINE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-747-9310
Mailing Address - Street 1:34 SYCAMORE AVE
Mailing Address - Street 2:2A
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1228
Mailing Address - Country:US
Mailing Address - Phone:732-747-9310
Mailing Address - Fax:732-747-9320
Practice Address - Street 1:34 SYCAMORE AVE
Practice Address - Street 2:2A
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1228
Practice Address - Country:US
Practice Address - Phone:732-747-9310
Practice Address - Fax:732-747-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty