Provider Demographics
NPI:1255376737
Name:WOMENS HEALTHCARE OF NEW MILFORD
Entity type:Organization
Organization Name:WOMENS HEALTHCARE OF NEW MILFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:SIMPSON
Authorized Official - Last Name:PAPOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-210-0082
Mailing Address - Street 1:120 PARK LANE RD
Mailing Address - Street 2:UNIT B202
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2444
Mailing Address - Country:US
Mailing Address - Phone:860-210-0082
Mailing Address - Fax:860-210-1633
Practice Address - Street 1:120 PARK LANE RD
Practice Address - Street 2:UNIT B202
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2444
Practice Address - Country:US
Practice Address - Phone:860-210-0082
Practice Address - Fax:860-210-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037903174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC02916Medicare UPIN