| Organization Name: | WHITE OAK OB GYN SERVICES PC |
| NPI Number: | 1043254410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROCCO A FULCINITI (PHYSCIAN) |
| Mailing Address: | 1966 Lincoln Way Suite 100 White Oak |
| State: | PA US |
| Postal Code: | 151312416 |
| Phone Number: | 4126733800 |
| Fax Number: | 4126735848 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 016883E |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |