Individual
WILLIAM LANE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 545-5517
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
220964
NY
207RC0000X
Cardiovascular Disease Physician
051946
CT
207RC0000X
Cardiovascular Disease Physician
220964
NY
207UN0901X
Nuclear Cardiology Physician
Primary
051946
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001519461
—
CT
05
—
02578430
—
NY
Enumeration date
06/02/2006
Last updated
07/03/2013
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