Basic Information
| Provider Information | |||||||||
| NPI: | 1659314912 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOMEN'S HEALTH CARE SPECIALISTS DIV/ WOMEN'S HEALTH CARE GROUP OF PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 583 SHOEMAKER RD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194064201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102650184 | ||||||||
| FaxNumber: | 6102654088 | ||||||||
| Practice Location | |||||||||
| Address1: | 583 SHOEMAKER RD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194064201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102650184 | ||||||||
| FaxNumber: | 6102654088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CASTELLI | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6102650184 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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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.