Individual
DR. JOHN ROGER WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6882
(860) 667-6875
Mailing address
1 BRIGHTON LN, SIMSBURY, CT 06070-1543
(860) 658-9309
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
032961
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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