Provider Demographics
NPI:1841311834
Name:WOMENS HEALTHCARE PROFESSIONALS PC
Entity type:Organization
Organization Name:WOMENS HEALTHCARE PROFESSIONALS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FIERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-860-7451
Mailing Address - Street 1:751 E 16TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-2321
Mailing Address - Country:US
Mailing Address - Phone:570-759-8050
Mailing Address - Fax:
Practice Address - Street 1:751 E 16TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-2321
Practice Address - Country:US
Practice Address - Phone:570-759-8050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD417657207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAA64158Medicare UPIN
PA059564Medicare PIN