Organization
WILTON MEDICAL WALK IN CLINIC INC
Active
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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