Provider Demographics
NPI:1912182999
Name:TOWN CENTER WOMAN'S CARE PC
Entity Type:Organization
Organization Name:TOWN CENTER WOMAN'S CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSANI
Authorized Official - Suffix:SR
Authorized Official - Credentials:DO
Authorized Official - Phone:814-368-1650
Mailing Address - Street 1:23 KENNEDY ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-2065
Mailing Address - Country:US
Mailing Address - Phone:814-368-1650
Mailing Address - Fax:814-368-1654
Practice Address - Street 1:23 KENNEDY ST
Practice Address - Street 2:SUITE 101
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-2065
Practice Address - Country:US
Practice Address - Phone:814-368-1650
Practice Address - Fax:814-368-1654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S009460L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty