Individual
WILLIAM H HERNANDEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 WEST MAIN STREET, NORWICH, CT 06360
(860) 889-1400
(860) 889-3163
Mailing address
606 WEST MAIN STREET, NORWICH, CT 06360
(860) 889-1400
(860) 889-3163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001247162
—
CT
Enumeration date
10/19/2006
Last updated
03/09/2009
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