Provider Demographics
NPI:1104022268
Name:WOMEN'S HEALTH ASSOCIATES, LLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, LLC
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CIBELLI
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:203-483-1119
Mailing Address - Street 1:337 NOTCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06471-1826
Mailing Address - Country:US
Mailing Address - Phone:203-483-1119
Mailing Address - Fax:
Practice Address - Street 1:337 NOTCH HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06471-1826
Practice Address - Country:US
Practice Address - Phone:203-483-1119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty