Provider Demographics
NPI:1063787992
Name:ASSOCIATES IN WOMEN'S CARE, PA
Entity type:Organization
Organization Name:ASSOCIATES IN WOMEN'S CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:609-399-0700
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-0366
Mailing Address - Country:US
Mailing Address - Phone:609-399-0700
Mailing Address - Fax:609-399-0033
Practice Address - Street 1:213 WEST AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-4131
Practice Address - Country:US
Practice Address - Phone:609-399-0700
Practice Address - Fax:609-399-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-10
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04044700207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty