Provider Demographics
NPI:1790752830
Name:GCSF OBGYN ASSOC
Entity Type:Organization
Organization Name:GCSF OBGYN ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD MD
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-659-8080
Mailing Address - Street 1:2300 COMPUTER RD
Mailing Address - Street 2:STE E25
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090
Mailing Address - Country:US
Mailing Address - Phone:215-659-8080
Mailing Address - Fax:215-659-0977
Practice Address - Street 1:2300 COMPUTER RD
Practice Address - Street 2:STE E25
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090
Practice Address - Country:US
Practice Address - Phone:215-659-8080
Practice Address - Fax:215-659-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA165037Medicare ID - Type Unspecified