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Individual
WILLIAM R MARON
Active
Individual
WILLIAM R MARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
018676
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010018676CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
07/10/2006
Last updated
03/14/2008
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