Windham Surgical Group, P.C. in Willimantic - Specialist
Windham Surgical Group, P.C. - NPI 1609806397
Windham Surgical Group, P.C. is a Specialist in Willimantic, Connecticut. Windham Surgical Group, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Windham Surgical Group, P.C. is 1609806397. The last update date is 2008-05-20.
Windham Surgical Group, P.C.'s current location address is 162 Mansfield Ave # B, Willimantic, Connecticut. You can contact this provider via phone number 8604235000 and fax number 8604234838. The mailing address for Windham Surgical Group, P.C. is 162 Mansfield Ave # B, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Windham Surgical Group, P.C. |
|---|---|
| Address | 162 Mansfield Ave # B, Willimantic, Connecticut |
| Phone Number | 8604235000 |
| Fax Number | 8604234838 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ridyard W. Herbert |
| Credentials | M.D. |
| Telephone Number | 8604235000 |
NPI Number Detail
| NPI Number | 1609806397 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 162 Mansfield Ave # B |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262041 |
| Phone Number | 8604235000 |
| Fax Number | 8604234838 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4139318 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Windham Surgical Group, P.C. by the Centers for Medicare & Medicaid Services?
The Windham Surgical Group, P.C. has been assigned the NPI (National Provider Identifier) 1609806397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Windham Surgical Group, P.C. is geographically located?
The Windham Surgical Group, P.C. is physically situated at the following location: 162 Mansfield Ave # B, Willimantic, CT, 62262041.
What is Windham Surgical Group, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Windham Surgical Group, P.C. is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did Windham Surgical Group, P.C. receive its 1609806397 assignment from the Centers for Medicare & Medicaid Services?
The Windham Surgical Group, P.C. was assigned its 1609806397 on 2006-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Windham Surgical Group, P.C. most recently updated?
The details pertaining to the Windham Surgical Group, P.C., including its address, specialty, and other relevant information, were last refreshed on 2008-05-20.
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