Provider Demographics
NPI:1457786063
Name:WOMEN'S HEALTH ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BRAATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-798-0500
Mailing Address - Street 1:27 HOSPITAL AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5954
Mailing Address - Country:US
Mailing Address - Phone:203-798-0500
Mailing Address - Fax:203-798-0881
Practice Address - Street 1:27 HOSPITAL AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5954
Practice Address - Country:US
Practice Address - Phone:203-798-0500
Practice Address - Fax:203-798-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC01225Medicare PIN