Organization
WOMEN'S HEALTH CARE GROUP OF PA
Active
Other names
OBGYN HEALTHCARE ASSOCIATES AT RIDDLE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE K SHIMA DO (PHYSICIAN)
(484) 443-2880
Entity
Organization
Contact information
Practice address
1088 W BALTIMORE PIKE, SUITE 3415, MEDIA, PA 19063-5146
(484) 443-2880
(484) 443-2885
Mailing address
1088 W BALTIMORE PIKE, SUITE 3415, MEDIA, PA 19063-5146
(484) 443-2880
(484) 443-2885
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115769000
IBC PROVIDER NUMBER
PA
Enumeration date
07/20/2009
Last updated
07/20/2009
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