| Organization Name: | PAVILION WOMENS HEALTH ASSOCIATES PA |
| NPI Number: | 1215960679 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD J NIEWIADOMSKI (PRESIDENT) |
| Mailing Address: | 1100 Route 72 W Suite 305 Manahawkin |
| State: | NJ US |
| Postal Code: | 080502468 |
| Phone Number: | 6099789841 |
| Fax Number: | 6099789843 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |