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Organization

WOMENS HEALTH CARE GROUP OF PENNSYLVANIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN KRELL M.D. (PRESIDENT)
(484) 831-0200
Entity
Organization

Contact information

Practice address
450 CRESSON BLVD, SUITE 300, OAKS, PA 19456
(484) 831-0200
Mailing address
PO BOX 1109, OAKS, PA 19456-1109
(484) 831-0200
(484) 831-0209

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207VE0102X
Reproductive Endocrinology Physician
207VM0101X
Maternal & Fetal Medicine Physician
207ZC0500X
Cytopathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085603
MEDICARE GROUP PTAN
PA
05
1011394540001
PA
Enumeration date
06/12/2006
Last updated
08/16/2013
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