Basic Information
| Provider Information | |||||||||
| NPI: | 1477600310 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOMENS HEALTH CARE GROUP OF PA | ||||||||
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| OtherOrganizationName: | BRYN MAWR WOMEN'S HEALTH ASSOC DIVISION | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 450 CRESSON BLVD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | OAKS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848310200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 919 CONESTOGA ROAD | ||||||||
| Address2: | SUITE 104 BUILDING ONE | ||||||||
| City: | ROSEMONT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105256400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | STRAUB | ||||||||
| AuthorizedOfficialFirstName: | MICHELE | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6105256400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.