Organization
WOMEN'S HEALTH CARE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRATTAROLA MD (DELEGATED OFFICIAL)
(201) 907-0900
Entity
Organization
Contact information
Practice address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
Mailing address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA03819000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049262
AETNA HMO GROUP #
NJ
01
—
0142333000
AMERIHEALTH GROUP #
NJ
01
—
5771292
AETNA PPO GROUP #
NJ
05
—
6982409
—
NJ
01
—
C12983
RAILROAD MEDICARE GROUP #
NJ
Enumeration date
06/17/2006
Last updated
06/20/2008
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