Provider Demographics
NPI:1851363659
Name:PARTNERS IN WOMEN'S HEALTHCARE, PC
Entity Type:Organization
Organization Name:PARTNERS IN WOMEN'S HEALTHCARE, PC
Other - Org Name:PHYSICIANS FOR WOMEN'S HEALTH, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:JANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-737-4511
Mailing Address - Street 1:1 LEMOYNE SQ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1230
Mailing Address - Country:US
Mailing Address - Phone:717-737-4511
Mailing Address - Fax:717-909-6659
Practice Address - Street 1:1 LEMOYNE SQ
Practice Address - Street 2:SUITE 201
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1230
Practice Address - Country:US
Practice Address - Phone:717-737-4511
Practice Address - Fax:717-909-6659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
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
PA50026606OtherCAPITAL BLUE CROSS GROUP
PA125591OtherHIGHMARK BLUE SHIELD
PA3432428OtherAETNA GROUP NUMBER