Provider Demographics
NPI:1538404421
Name:THE WOMENS INSTITUTE FOR GYNECOLOGIC CANCER & SPECIAL PELVIC SURGERY
Entity type:Organization
Organization Name:THE WOMENS INSTITUTE FOR GYNECOLOGIC CANCER & SPECIAL PELVIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-965-2454
Mailing Address - Street 1:5485 SAUCON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-8703
Mailing Address - Country:US
Mailing Address - Phone:610-965-2454
Mailing Address - Fax:610-965-2979
Practice Address - Street 1:301 S 22ND ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3811
Practice Address - Country:US
Practice Address - Phone:610-965-2454
Practice Address - Fax:610-965-2979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069744L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty