Basic Information
| Provider Information | |||||||||
| NPI: | 1013020890 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MFM DIVISION/WHCG OF PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 450 CRESSON BLVD | ||||||||
| Address2: | STE. 300 | ||||||||
| City: | OAKS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848310200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 450 CRESSON BLVD | ||||||||
| Address2: | STE. 300 | ||||||||
| City: | OAKS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848310200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MEGERIAN | ||||||||
| AuthorizedOfficialFirstName: | GARO | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6103244160 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VM0101X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
No ID Information.