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Individual

WILLIAM NEIL PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 QUAKER FARMS RD, SOUTHBURY, CT 06488-2732
(203) 264-5911
(203) 264-9177
Mailing address
30 QUAKER FARMS RD, SOUTHBURY, CT 06488-2732
(203) 264-5911
(203) 264-9177

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25203
CT
207RC0000X
Cardiovascular Disease Physician
Primary
25203
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060000345
MEDICARE GROUP #
CT
05
1252030
CT
Enumeration date
06/14/2006
Last updated
12/12/2017
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