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FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY NPI 1174669311


NPI Information

NPI: 1174669311
Provider Name: FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3801 05 LANCASTER AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 382-4300
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FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY is an obstetrics gynecology in Philadelphia, 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. FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY NPI is 1174669311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3801 05 LANCASTER AVE
PHILADELPHIA, PA
ZIP 19104-317
Phone: (215) 382-4300
Fax: (215) 382-3972

The provider's authorized official is Kermit B Gosnell .
The authorized official title is President and has the following contact phone number (215) 382-4300.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD009422EPENNSYLVANIANo
2207V00000XObstetrics & GynecologyMD009422EPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B33895MEDICARE UPIN
2G032662MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
30544746MEDICAIDPENNSYLVANIA

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: 11/14/2023

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