Organization
WINDSOR LOCKS MEDICAL CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRUCE SPECTOR M.D. (MANAGING PARTNER)
(860) 627-0161
Entity
Organization
Contact information
Practice address
73 OLD COUNTY ROAD, WINDSOR LOCKS, CT 06096
(860) 627-0161
(860) 292-1327
Mailing address
73 OLD COUNTY ROAD, WINDSOR LOCKS, CT 06096
(860) 627-0161
(860) 292-1327
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
026154
CT
208D00000X
General Practice Physician
Primary
026154
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HEALTHNET
OV1001
CT
Enumeration date
09/28/2006
Last updated
12/01/2009
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