Organization
WOMEN'S WELLNESS & GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA PICARDO MD, MPH (OWNER/PHYSICIAN)
(814) 566-6781
Entity
Organization
Contact information
Practice address
4125 W RIDGE RD, ERIE, PA 16506-1763
(814) 566-6781
Mailing address
540 WILKINS RD, ERIE, PA 16505-1233
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD420480
PA
2083P0901X
Public Health & General Preventive Medicine Physician
MD420480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00194201
—
PA
Enumeration date
02/25/2015
Last updated
02/25/2015
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