Organization
WOMEN'S HEALTH CARE OF NE PA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MERCADO (ADMINISTRATIVE ASSISTANT)
(570) 253-3005
Entity
Organization
Contact information
Practice address
110 PARK ST, HONESDALE, PA 18431-2023
(570) 253-3005
Mailing address
110 PARK ST, HONESDALE, PA 18431-2023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012190800001
—
PA
05
—
01204044
—
NY
Enumeration date
10/17/2006
Last updated
11/06/2007
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