Provider Demographics
NPI:1043215619
Name:WOMEN'S HEALTH ASSOCIATES OF WESTERN MA INC.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH ASSOCIATES OF WESTERN MA INC.
Other - Org Name:WOMEN'S HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-562-8306
Mailing Address - Street 1:65 SPRINGFIELD RD
Mailing Address - Street 2:STE 2
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1884
Mailing Address - Country:US
Mailing Address - Phone:413-562-8306
Mailing Address - Fax:413-568-5678
Practice Address - Street 1:65 SPRINGFIELD RD
Practice Address - Street 2:STE 2
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1884
Practice Address - Country:US
Practice Address - Phone:413-562-8306
Practice Address - Fax:413-568-5678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9785124Medicaid
1004760001Medicare NSC
MAM16128Medicare ID - Type Unspecified
M16128Medicare PIN