Spector, William Bruce

Spector, William Bruce is an individual health care provider with primary practice located at 100 Hazard Ave Suite 100, Enfield CT 06082-5446. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Spector, William Bruce can be contacted via phone (860) 696-2380.

Contact Information

Primary practice address
100 Hazard Ave Suite 100 Enfield CT 06082-5446
Fax: (860) 745-3864
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 026154 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 026154 Connecticut

Profile Details

NPI number 1063429769
LBN Legal business name Spector, William Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063429769 NPPES
Connecticut MEDICAID 1261544

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