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Organization

A WOMAN'S PLACE OBSTETRICS & GYNECOLOGY

Active
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Organization

A WOMAN'S PLACE OBSTETRICS & GYNECOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNIE WILLIS MD (PROPRIETOR)
(610) 867-4151
Entity
Organization

Contact information

Practice address
685 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1165
(610) 867-4151
(610) 867-9129
Mailing address
685 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1165
(610) 867-4151
(610) 867-9129

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
03/23/2007
Last updated
07/27/2007
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