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Individual

DR. WILLIAM BRUCE SPECTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HAZARD AVE, SUITE 100, ENFIELD, CT 06082-5446
(860) 696-2380
(860) 745-3864
Mailing address
100 HAZARD AVE, SUITE 100, ENFIELD, CT 06082-5446
(860) 696-2380
(860) 745-3864

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026154
CT
208D00000X
General Practice Physician
026154
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1261544
CT
Enumeration date
08/02/2006
Last updated
07/31/2013
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