Healthcare Provider Details

I. General information

NPI: 1346696556
Provider Name (Legal Business Name): CAITLIN ANN WOJCIEHOSKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 WOODLAND ST
HARTFORD CT
06105-1208
US

IV. Provider business mailing address

7752 GARRISON CT
ARVADA CO
80005-4045
US

V. Phone/Fax

Practice location:
  • Phone: 806-714-4000
  • Fax:
Mailing address:
  • Phone: 303-929-9440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number66248
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: