Organization
COMPLETE WOMENS CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B KLEBANOFF MD (DELEGATED OFFICIAL)
(610) 956-0003
Entity
Organization
Contact information
Practice address
1650 HUNGTONDON PIKE, MEADOWBROOK, PA 19046
(610) 956-0003
Mailing address
1651 WEST FRONT STREET, BERWICK, PA 18603
(610) 956-0003
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD027587E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019196900002
—
PA
Enumeration date
05/03/2007
Last updated
07/30/2008
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