| Organization Name: | PROSPECT WOMEN'S HEALTH CENTER, LLC |
| NPI Number: | 1023162385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALEED MOHAMED ABDELGHANI (OFFICER) |
| Mailing Address: | 77 Prospect Ave 1b Hackensack |
| State: | NJ US |
| Postal Code: | 076011913 |
| Phone Number: | 2013427002 |
| Fax Number: | 2013427055 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 1270009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |