Individual
DR. WILLIAM SHEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 APPLEWOOD DR, WOODSTOCK, CT 06281
(860) 928-4040
(860) 928-0733
Mailing address
50 APPLEWOOD DR, WOODSTOCK, CT 06281
(860) 928-4040
(860) 928-0733
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CT021770
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021770CT01
BLUE CROSS BLUE SHIELD
CT
01
—
010057604
RAILROAD MEDICARE
—
01
—
782878
CONNECTICARE
—
01
—
CT5191
HEALTHNET
—
Enumeration date
10/14/2006
Last updated
12/15/2009
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