Healthcare Provider Details

I. General information

NPI: 1669590295
Provider Name (Legal Business Name): WIH FACULTY PHYSICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 NEW BOSTON RD STE 3
FALL RIVER MA
02720-5814
US

IV. Provider business mailing address

PO BOX 414064
BOSTON MA
02241-0001
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-3500
  • Fax:
Mailing address:
  • Phone: 401-273-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAWN L RODGERS
Title or Position: MANAGER PAYER ENROLLMENT
Credential:
Phone: 401-273-0641