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Individual

DR. WILLIAM THOMAS CULVINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36 WATSON ST, WILLIMANTIC, CT 06226-2122
(860) 456-0287
Mailing address
36 WATSON ST, WILLIMANTIC, CT 06226-2122

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
040693
CT
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
040693
CT
207YX0602X
Otolaryngic Allergy Physician
040693
CT
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
040693
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001406934
CT
Enumeration date
05/12/2006
Last updated
02/22/2018
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