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Individual

DR. WILLIAM R MCQUEEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 MERIDEN AVE, SUITE 1E, SOUTHINGTON, CT 06489-3238
(504) 842-4000
Mailing address
55 MERIDEN AVE, SUITE 1E, SOUTHINGTON, CT 06489-3238
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13655R
LA
207R00000X
Internal Medicine Physician
Primary
50535
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1428752
LA
Enumeration date
05/13/2006
Last updated
02/08/2013
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