# INNOVATIVE WOMEN'S HEALTH & SURGERY, LLC

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

## Provider details

- **NPI number:** 1780496109
- **Authorized official:** DR. BRYAN ALCIDES PABLO MD (OWNER)
- **Authorized official phone:** (201) 360-1610

## Contact information

- **Practice address:** 10 FOREST AVE STE 220, PARAMUS, NJ 07652-5238
- **Practice address phone:** (201) 639-7690
- **Mailing address:** 999 RIVERVIEW DR \# 201-405, TOTOWA, NJ 07512-1164
- **Mailing address phone:** (201) 360-1610

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2025
- **Last updated:** 01/22/2025