Basic Information
| Provider Information | |||||||||
| NPI: | 1730154469 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WHITE ROSE OB/GYN ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1225 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174031250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178462168 | ||||||||
| FaxNumber: | 7176991300 | ||||||||
| Practice Location | |||||||||
| Address1: | 1225 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174031250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178462168 | ||||||||
| FaxNumber: | 7176991300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2006 | ||||||||
| LastUpdateDate: | 07/06/2011 | ||||||||
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| AuthorizedOfficialLastName: | PICCOLO | ||||||||
| AuthorizedOfficialFirstName: | ANTHONY | ||||||||
| AuthorizedOfficialMiddleName: | RALPH | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 7178462168 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0000X | OS003760L | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics |
No ID Information.