Organization
A WOMENS CARE OB-GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE WEIZER MD (OWNER)
(570) 628-4200
Entity
Organization
Contact information
Practice address
541 W BACON ST, POTTSVILLE, PA 17901-3917
(570) 628-4200
(570) 628-4824
Mailing address
541 W BACON ST, POTTSVILLE, PA 17901-3917
(570) 628-4200
(570) 628-4824
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007545770005
—
PA
01
—
1347147
HIGHMARK BS
—
01
—
CK8371
TRAVELERS MEDICARE
PA
Enumeration date
01/26/2006
Last updated
03/03/2015
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