Provider Demographics
NPI:1487758066
Name:ALLENTOWN WOMENS CENTER
Entity type:Organization
Organization Name:ALLENTOWN WOMENS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-821-0821
Mailing Address - Street 1:31 SOUTH COMMERCE WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8916
Mailing Address - Country:US
Mailing Address - Phone:484-821-0821
Mailing Address - Fax:484-821-0826
Practice Address - Street 1:31 SOUTH COMMERCE WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8916
Practice Address - Country:US
Practice Address - Phone:484-821-0821
Practice Address - Fax:484-821-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007590510002Medicaid