Healthcare Provider Details

I. General information

NPI: 1760547871
Provider Name (Legal Business Name): FOUR WOMEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 EMORY ST
ATTLEBORO MA
02703-2439
US

IV. Provider business mailing address

150 EMORY ST
ATTLEBORO MA
02703-2439
US

V. Phone/Fax

Practice location:
  • Phone: 508-222-7555
  • Fax: 508-226-2218
Mailing address:
  • Phone: 508-222-7555
  • Fax: 508-226-2218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number44H1
License Number StateMA

VIII. Authorized Official

Name: CAROL JANE BELDING
Title or Position: PRESIDENT
Credential:
Phone: 508-222-7555