Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 043549 | CT |
NPI | 1598873481 |
---|---|
Provider Name | Dr. Shaun C. Williams |
First Address | Norwalk, CT 06851-1080 |
Second Address | Norwalk, CT 06851-1080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 01/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0110043549CT01 | BLUE CROSS BLUE SHIELD (01) | CT |
043549 | CONNECTICARE (01) | CT |
043549 | STATE LICENSE (01) | CT |
1115395 | AETNA (01) | CT |
19819545 | UNITED HEALTHCARE (01) | CT |
2V7258 | HEALTHNET (01) | CT |
3325891 | CIGNA (01) | CT |
9400961 | PHCS (01) | CT |
BW7031761 | DEA (01) | CT |
P3661557 | OXFORD (01) | CT |