Organization Name: | WILLIAMSPORT OBSTETRICS & GYNECOLOGY, P.C. |
NPI Number: | 1033140280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ANTHONY DONATO (PHYSICIAN/PRESIDENT) |
Mailing Address: | 904 Campbell St Suite 203 Williamsport |
State: | PA US |
Postal Code: | 177013166 |
Phone Number: | 5703279900 |
Fax Number: | 5703279400 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/08/2007 |
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: |