Provider Demographics
NPI:1760482830
Name:EXETER WOMEN'S CARE PA
Entity Type:Organization
Organization Name:EXETER WOMEN'S CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:GAW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-778-7755
Mailing Address - Street 1:9 BUZELL AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2522
Mailing Address - Country:US
Mailing Address - Phone:603-778-7755
Mailing Address - Fax:603-772-1529
Practice Address - Street 1:9 BUZELL AVE
Practice Address - Street 2:STE 5
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2522
Practice Address - Country:US
Practice Address - Phone:603-778-7755
Practice Address - Fax:603-772-1529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6167207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2350OtherCIGNA
NH00000073Medicaid
NH00000073Medicaid
E09917Medicare UPIN