Basic Information
| Provider Information | |||||||||
| NPI: | 1861050577 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NATURAL WOMEN'S HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 950 FRAZIER RD | ||||||||
| Address2: | |||||||||
| City: | RYDAL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190462408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692319084 | ||||||||
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| Practice Location | |||||||||
| Address1: | 727 WELSH RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | HUNTINGDON VALLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159394251 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2019 | ||||||||
| LastUpdateDate: | 01/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | RUBERU | ||||||||
| AuthorizedOfficialFirstName: | MONIQUE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4692319084 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 01/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.