MEDICARE: WOMENS HEALTHCARE OF NEW MILFORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	037903	CT

General Provider Information

NPI Number	:	1255376737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENS HEALTHCARE OF NEW MILFORD

Provider Business Mailing Address
First Line	:	120 PARK LANE RD
Second Line	:	UNIT B202
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2444
Country	:	US
Telephone Number	:	860-210-0082
Fax Number	:	860-210-1633

Provider Business Practice Location Address
First Line	:	120 PARK LANE RD
Second Line	:	UNIT B202
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2444
Country	:	US
Telephone Number	:	860-210-0082
Fax Number	:	860-210-1633

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CAROL SIMPSON PAPOV
Credential	:	MD
Telephone Number	:	860-210-0082

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	12/30/2010

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