31D0710449 CLIA NUMBER - REGIONAL WOMEN'S HEALTH GROUP RANCOCAS OB/GYN WILLINGBORO

Laboratory Demographics

CLIA Number: 31D0710449

Facility Name: REGIONAL WOMEN'S HEALTH GROUP RANCOCAS OB/GYN WILLINGBORO

Facility Address:
200 CAMPBELL DRIVE SUITE 101
WILLINGBORO, NJ
ZIP 08046
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Facility Phone Number: 609 877-8777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669627873

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 31D0710449
LAB Type Physician Office
Facility Name REGIONAL WOMEN'S HEALTH GROUP RANCOCAS OB/GYN WILLINGBORO
Street 200 CAMPBELL DRIVE SUITE 101
City WILLINGBORO
State NJ
ZIP 08046
Phone 609 877-8777
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024