Provider Demographics
NPI:1487785853
Name:HEALTH CARE FOR WOMEN P.A.
Entity type:Organization
Organization Name:HEALTH CARE FOR WOMEN P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILAN
Authorized Official - Middle Name:SORIANO
Authorized Official - Last Name:BALTAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-398-0590
Mailing Address - Street 1:111 W HIGH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-8611
Mailing Address - Country:US
Mailing Address - Phone:410-398-0590
Mailing Address - Fax:410-392-9408
Practice Address - Street 1:111 W HIGH ST STE 207
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8611
Practice Address - Country:US
Practice Address - Phone:410-398-0590
Practice Address - Fax:410-392-9408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0021647207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119111000Medicaid
MDB69958Medicare UPIN
MD119111000Medicaid