Provider Demographics
NPI:1699058826
Name:SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN, LLC
Entity type:Organization
Organization Name:SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:F
Authorized Official - Last Name:COUTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-722-5033
Mailing Address - Street 1:333 SCHOOL ST.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860
Mailing Address - Country:US
Mailing Address - Phone:401-722-5033
Mailing Address - Fax:401-722-5044
Practice Address - Street 1:333 SCHOOL ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860
Practice Address - Country:US
Practice Address - Phone:401-722-5033
Practice Address - Fax:401-722-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty