1760547871 NPI number — FOUR WOMEN

Table of content: DR. FRANK R RAUZI MD (NPI 1881688620)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760547871 NPI number — FOUR WOMEN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOUR WOMEN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FOUR WOMEN, INC.
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760547871
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 EMORY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATTLEBORO
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02703-2439
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-222-7555
Provider Business Mailing Address Fax Number:
508-226-2218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 EMORY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATTLEBORO
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02703-2439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-222-7555
Provider Business Practice Location Address Fax Number:
508-226-2218
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BELDING
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
JANE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-222-7555

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  44H1 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 27012 . This is a "BOSTON MEDICAL CENTER INS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3798256 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 411241 . This is a "BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5720-0 . This is a "BLUE CROSS RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1606590 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 689958 . This is a "TUFTS INS." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M18209 . This is a "BLUE CROSS OF MA GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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