Provider Demographics
NPI:1053471813
Name:WOMENS MEDICAL ASSOCIATES OF SOUTHERN NH
Entity Type:Organization
Organization Name:WOMENS MEDICAL ASSOCIATES OF SOUTHERN NH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:WAIND
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-880-9200
Mailing Address - Street 1:166 KINSLEY STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-880-9200
Mailing Address - Fax:603-880-6036
Practice Address - Street 1:166 KINSLEY ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3676
Practice Address - Country:US
Practice Address - Phone:603-880-9200
Practice Address - Fax:603-880-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7522207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty