Provider Demographics
NPI:1275622938
Name:WOMEN'S INTEGRATIVE HEALTH, LLC
Entity Type:Organization
Organization Name:WOMEN'S INTEGRATIVE HEALTH, LLC
Other - Org Name:PALLIATIVE CARE PANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-921-7836
Mailing Address - Street 1:4 CHARTER OAK LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6911
Mailing Address - Country:US
Mailing Address - Phone:203-921-7836
Mailing Address - Fax:203-433-5823
Practice Address - Street 1:4 CHARTER OAK LN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6911
Practice Address - Country:US
Practice Address - Phone:203-921-7836
Practice Address - Fax:203-433-5823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1538275177OtherNPI