Provider Demographics
NPI:1952396038
Name:READING OB-GYN P. C.
Entity Type:Organization
Organization Name:READING OB-GYN P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAMMARANO
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:610-779-6550
Mailing Address - Street 1:3701 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2739
Mailing Address - Country:US
Mailing Address - Phone:610-779-6550
Mailing Address - Fax:670-779-8295
Practice Address - Street 1:3701 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2739
Practice Address - Country:US
Practice Address - Phone:610-779-6550
Practice Address - Fax:670-779-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X
PAOS004956L261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015106170010Medicaid
PA641575Medicare PIN