Doctor Name: | DR. WILLIAM BRUCE SPECTOR |
NPI Number: | 1063429769 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 026154 |
Business Practice Address: | 100 Hazard Ave Suite 100 Enfield, CT - 060825446 |
Business Phone Number: | 8606962380 |
Business Fax Number: | 8607453864 |
Mailing Address: | 100 Hazard Ave, Suite 100 ENFIELD |
State: | CT |
Postal Code: | 060825446 |
Phone Number: | 8606962380 |
Fax Number: | 8607453864 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 026154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |