Provider Demographics
NPI:1568467132
Name:WOOL, ROBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:WOOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59552207V00000X
CT027487207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110048759AMedicaid
MAJ08356Medicare ID - Type Unspecified
MAJ08356Medicare PIN
E01971Medicare UPIN
MA110048759AMedicaid