Individual
DR. WILLIAM P PENNOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 NORTHWESTERN DR, SUITE # 305, BLOOMFIELD, CT 06002-3463
(860) 242-8591
(860) 242-2511
Mailing address
6 NORTHWESTERN DR, SUITE # 305, BLOOMFIELD, CT 06002-3463
(860) 242-8591
(860) 242-2511
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
038713
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001387134
—
CT
Enumeration date
04/05/2006
Last updated
09/10/2013
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