Provider Demographics
NPI:1891002309
Name:PARTNERS IN WOMEN'S HEALTH II, LLC
Entity Type:Organization
Organization Name:PARTNERS IN WOMEN'S HEALTH II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TESS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-474-2300
Mailing Address - Street 1:3840 WOODLEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1175
Mailing Address - Country:US
Mailing Address - Phone:419-474-2300
Mailing Address - Fax:419-474-2302
Practice Address - Street 1:3840 WOODLEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1175
Practice Address - Country:US
Practice Address - Phone:419-474-2300
Practice Address - Fax:419-474-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083886207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty