Provider Demographics
NPI:1609138742
Name:THE BESSIE MAE WOMEN'S HEALTH CENTER
Entity type:Organization
Organization Name:THE BESSIE MAE WOMEN'S HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESSNEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-766-1303
Mailing Address - Street 1:190 S HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1502
Mailing Address - Country:US
Mailing Address - Phone:973-766-1303
Mailing Address - Fax:973-766-1361
Practice Address - Street 1:190 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1502
Practice Address - Country:US
Practice Address - Phone:973-766-1303
Practice Address - Fax:973-766-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center