Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 017143 | CT |
NPI | 1285630798 |
---|---|
Provider Name | Dr. William James Rockwell |
First Address | Bridgeport, CT 06606-1813 |
Second Address | Bridgeport, CT 06606-1813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 21/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01-0017143CT01 | ANTHEM BLUE CROSS/BLUE SH (01) | CT |
0V0522 | HEALTH NET (01) | CT |
1171438 | (05) | CT |
B84394 | (02) | CT |
P381229 | OXFORD (01) | CT |