Individual
DR. EDWARD J WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
471 MONTAUK AVE, NEW LONDON, CT 06320-4614
(860) 443-4148
(860) 442-3805
Mailing address
471 MONTAUK AVE, NEW LONDON, CT 06320-4614
(860) 443-4148
(860) 442-3805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
029712
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001297127
—
CT
Enumeration date
02/08/2006
Last updated
07/08/2007
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