Provider Demographics
NPI:1366638009
Name:THE WOMENS HEALTH CENTER OF PUTNAM ,CT, PC
Entity Type:Organization
Organization Name:THE WOMENS HEALTH CENTER OF PUTNAM ,CT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:RAHEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-963-6699
Mailing Address - Street 1:340 POMFRET ST
Mailing Address - Street 2:
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-1834
Mailing Address - Country:US
Mailing Address - Phone:860-963-6699
Mailing Address - Fax:860-963-6696
Practice Address - Street 1:340 POMFRET ST
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-1834
Practice Address - Country:US
Practice Address - Phone:860-963-6699
Practice Address - Fax:860-963-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT029642207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty