Provider Demographics
NPI:1831540053
Name:SOMERSET WOMEN'S CARE, LLC
Entity type:Organization
Organization Name:SOMERSET WOMEN'S CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHILPA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-222-0070
Mailing Address - Street 1:31 MOUNTAIN BLVD BLDG T
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5648
Mailing Address - Country:US
Mailing Address - Phone:908-222-0070
Mailing Address - Fax:908-374-6152
Practice Address - Street 1:31 MOUNTAIN BLVD BLDG T
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5648
Practice Address - Country:US
Practice Address - Phone:908-222-0070
Practice Address - Fax:908-374-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07063500207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSC052291Medicare UPIN