Individual
SAMUEL WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
342 N MAIN ST STE 350, WEST HARTFORD, CT 06117-2500
(860) 331-3016
(860) 331-3019
Mailing address
342 N MAIN ST STE 350, WEST HARTFORD, CT 06117-2500
(860) 331-3016
(860) 331-3019
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
25MB11231200
NJ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
71101
CT
207Q00000X
Family Medicine Physician
25MB11231200
NJ
207Q00000X
Family Medicine Physician
Primary
71101
CT
207Q00000X
Family Medicine Physician
OT017661
PA
Other
Enumeration date
05/01/2017
Last updated
11/22/2022
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