Healthcare Provider Details

I. General information

NPI: 1437109824
Provider Name (Legal Business Name): WOODLAND ANESTHESIA ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 WOODLAND ST
HARTFORD CT
06105-1208
US

IV. Provider business mailing address

114 WOODLAND ST
HARTFORD CT
06105-1208
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-6654
  • Fax: 860-714-8110
Mailing address:
  • Phone: 860-714-6654
  • Fax: 860-714-8110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEO CONTOIS
Title or Position: CHIEF OF ANESTHESIA
Credential: M.D.
Phone: 860-714-6654