Organization
DANBURY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN H WILLIAMS MD (OWNER)
(203) 794-1979
Entity
Organization
Contact information
Practice address
100 RESERVE RD STE A4, DANBURY, CT 06810-5267
(203) 794-1979
(203) 794-1796
Mailing address
100 RESERVE RD STE A4, DANBURY, CT 06810-5267
(203) 794-1979
(203) 794-1796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3360762
CT
207RG0100X
Gastroenterology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004108115
—
CT
Enumeration date
04/02/2007
Last updated
10/21/2022
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