Individual
DR. WILLIAM H KOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1366
(860) 599-5477
(860) 599-5676
Mailing address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1366
(860) 599-5477
(860) 599-5676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027036
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008008071
—
CT
05
—
9784535
—
MA
01
—
D400040801
MEDIARE
CT
01
—
J14465
BLUE CROSS PROVIDER ID
MA
Enumeration date
01/11/2006
Last updated
08/07/2014
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