Provider Demographics
NPI:1427508670
Name:WARE MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:WARE MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SLOBOGIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:610-633-0073
Mailing Address - Street 1:400 CHERRY TREE RD
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19014-2406
Mailing Address - Country:US
Mailing Address - Phone:610-485-6700
Mailing Address - Fax:
Practice Address - Street 1:400 CHERRY TREE RD
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19014-2406
Practice Address - Country:US
Practice Address - Phone:610-485-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016510208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty