# PAVILION WOMENS HEALTH ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215960679
- **Authorized official:** MR. EDWARD J NIEWIADOMSKI M.D. (PRESIDENT)
- **Authorized official phone:** (609) 978-8900

## Contact information

- **Practice address:** 1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050-2468
- **Practice address phone:** (609) 978-9841
- **Practice address fax:** (609) 978-9843
- **Mailing address:** 1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050-2468
- **Mailing address phone:** (609) 978-9841
- **Mailing address fax:** (609) 978-9843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 11/15/2007