Organization
WOODLAND WOMEN'S SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED B FEINS (CHIEF OPERATING OFFICER)
(860) 653-0048
Entity
Organization
Contact information
Practice address
21 WOODLAND ST STE 112, HARTFORD, CT 06105-4318
(860) 278-7998
Mailing address
PO BOX 151, NORTH GRANBY, CT 06060-0151
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50WOODWOMCT01
ANTHEM GROUP PROVIDER NUM
CT
Enumeration date
02/05/2007
Last updated
08/22/2020
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