Individual
DR. WILLIAM HENRY PERUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 RETREAT AVE, HARTFORD, CT 06106-2527
(860) 545-0200
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63639
CT
207RC0000X
Cardiovascular Disease Physician
63639
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
63639
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
12/01/2023
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