Individual
WILLIAM R MARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 WOODLAND ST, SUITE 222, HARTFORD, CT 06105-4318
(860) 522-5215
(860) 247-3347
Mailing address
21 WOODLAND ST, SUITE 222, HARTFORD, CT 06105-4318
(860) 522-5215
(860) 247-3347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
018676
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010018676CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
07/10/2006
Last updated
03/14/2008
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