Provider Demographics
NPI:1730284043
Name:ALL ABOUT WOMEN SPECIALISTS IN OB GYN PC
Entity Type:Organization
Organization Name:ALL ABOUT WOMEN SPECIALISTS IN OB GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BETHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-620-9800
Mailing Address - Street 1:35 LINCOLN STREET
Mailing Address - Street 2:STE 1
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-620-9800
Mailing Address - Fax:508-665-6729
Practice Address - Street 1:35 LINCOLN STREET
Practice Address - Street 2:STE 1
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-620-9800
Practice Address - Fax:508-665-6729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155687207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
59089OtherFALLON COMM HEALTH PLAN
J18947OtherBCBS MA
130992OtherHARVARD PILGRIM
0071233OtherNEIGHBORHOOD HEALTH PLAN
MA3179397Medicaid
160058101OtherRAIL ROAD MEDICARE
155687OtherTUFTS HEALTH PLAN
37353OtherHEALTHY START
J18947OtherBCBS MA
59089OtherFALLON COMM HEALTH PLAN