PAOLI OB/GYN ASSOCIATES P.C. NPI 1174570220

NPI Information

  • NPI: 1174570220
  • Provider Name: PAOLI OB/GYN ASSOCIATES, P.C.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 100 E LANCASTER AVE STE 660
    LANKENAU MEDICAL BUILDING EAST
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (610) 896-7550

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NPI Details

PAOLI OB/GYN ASSOCIATES, P.C. is an obstetrics gynecology in Wynnewood, PA. The provider is 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. PAOLI OB/GYN ASSOCIATES, P.C. NPI is 1174570220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E LANCASTER AVE STE 660
LANKENAU MEDICAL BUILDING EAST
WYNNEWOOD, PA
ZIP 19096-450
Phone: (610) 896-7550
Fax: (610) 896-7914

The provider's authorized official is Joseph L Russino .
The authorized official title is President and has the following contact phone number (610) 896-7550.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1043924MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2504367OTHERPENNSYLVANIAAETNA
351756OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
40661441000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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