Organization
WOMEN'S WELLNESS CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J MICHAEL TEDESCO D.O. (PRESIDENT)
(570) 341-9818
Entity
Organization
Contact information
Practice address
743 JEFFERSON AVE, SUITE 206, SCRANTON, PA 18510-1635
(570) 341-9818
(570) 341-9950
Mailing address
743 JEFFERSON AVE, SUITE 206, SCRANTON, PA 18510-1635
(570) 341-9818
(570) 341-9950
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS003900L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS0039OOL
STATE LICENSE
PA
Enumeration date
04/27/2006
Last updated
03/07/2023
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