| Organization Name: | WINDSOR LOCKS MEDICAL CENTER, LLP |
| NPI Number: | 1356433486 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM BRUCE SPECTOR (MANAGING PARTNER) |
| Mailing Address: | 73 Old County Road Windsor Locks |
| State: | CT US |
| Postal Code: | 06096 |
| Phone Number: | 8606270161 |
| Fax Number: | 8602921327 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 12/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 026154 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |