Organization Name: | DOYLESTOWN GYNECOLOGY, LLC |
NPI Number: | 1023044609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE R HEISE (OWNER/PHYSICIAN) |
Mailing Address: | 1456 Ferry Rd Suite 402 Doylestown |
State: | PA US |
Postal Code: | 189012391 |
Phone Number: | 2153482992 |
Fax Number: | 2153482052 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |