Organization
WILTON MEDICAL WALK IN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEIRDRE MARIE SCHORMAN DO (PRESIDENT WILTON MEDICAL WALK IN CL)
(203) 834-8885
Entity
Organization
Contact information
Practice address
35 DANBURY RD, UNIT 5 WILTON MEDICAL WALK-IN CLINIC INC, WILTON, CT 06897
(203) 834-8885
(203) 834-8889
Mailing address
35 DANBURY RD, UNIT 5 WILTON MEDICAL WALK-IN CLINIC INC, WILTON, CT 06897
(203) 834-8885
(203) 834-8889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000272
CT
207R00000X
Internal Medicine Physician
015149
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010015149CT02
BCBS
—
01
—
040000272CT01
BCBS
—
01
—
2V6049
HEALTH NET
—
01
—
C02476
PTAN NUMBER
—
01
—
OV4868
HEALTH NET
—
Enumeration date
08/25/2006
Last updated
04/20/2008
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