Provider Demographics
NPI:1699746347
Name:CENTER FOR WOMENS HEALTH OF LANSDALE LLC
Entity type:Organization
Organization Name:CENTER FOR WOMENS HEALTH OF LANSDALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FILOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-368-1950
Mailing Address - Street 1:1000 WALNUT ST
Mailing Address - Street 2:SUITE 122
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1125
Mailing Address - Country:US
Mailing Address - Phone:215-368-1950
Mailing Address - Fax:215-368-9923
Practice Address - Street 1:1000 WALNUT ST
Practice Address - Street 2:SUITE 122
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1125
Practice Address - Country:US
Practice Address - Phone:215-368-1950
Practice Address - Fax:215-368-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1364742OtherHIGHMARK BS
PACK2080OtherTRAVELERS MEDICARE
PACK2080OtherTRAVELERS MEDICARE