Individual
DR. WILLIAM VANDERVEER PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2611
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
69667
CT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
D91392
MD
Other
Enumeration date
04/06/2016
Last updated
10/03/2022
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