# MID-ATLANTIC WOMENS CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MID-ATLANTIC WOMENS CARE PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275571101
- **Legal business name:** MID-ATLANTIC WOMENS CARE PLC
- **Authorized official:** DR. SUSAN LONTKOWSKI MD (PRESIDENT)
- **Authorized official phone:** (757) 253-5600

## Contact information

- **Practice address:** 120 KINGS WAY, SUITE 3400, WILLIAMSBURG, VA 23185-2505
- **Practice address phone:** (757) 253-5600
- **Practice address fax:** (757) 253-0819
- **Mailing address:** 120 KINGS WAY, SUITE 3400, WILLIAMSBURG, VA 23185-2505
- **Mailing address phone:** (757) 253-5600
- **Mailing address fax:** (757) 253-0819

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 01/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010270405 | — | VA |
| 05 | — | 160001310 | — | VA |
| 05 | — | 6200419 | — | VA |
| 05 | — | 6208819 | — | VA |
| 05 | — | 6208835 | — | VA |
| 05 | — | 6208851 | — | VA |
| 05 | — | 6216544 | — | VA |