Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 038803 | CT |
N | 207PP0204X | Pediatric Emergency Physician | 038803 | CT |
NPI | 1548268634 |
---|---|
Provider Name | Dr. William Ej Horgan |
First Address | Amston, CT 06231 |
Second Address | Farmington, CT 06030-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 08/07/2007 |