Windsor Locks Medical Center, LLP

Key facts

NPI

1356433486

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Physician 208D00000X

License

026154 (CT)

Legal business name

WINDSOR LOCKS MEDICAL CENTER, LLP

Practice address

73 Old County Road
Windsor Locks, CT 06096

Phone

(860) 627-0161

Fax

(860) 292-1327

NPI assigned

Sep 28, 2006

Organization subpart

No

Authorized official

Name

Dr. William Bruce Spector, M.D.

Title

Managing Partner

Phone

(860) 627-0161

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2009.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1356433486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 OLD COUNTY ROAD",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "06096",
            "telephone_number": "860-627-0161",
            "fax_number": "860-292-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 OLD COUNTY ROAD",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "06096",
            "telephone_number": "860-627-0161",
            "fax_number": "860-292-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR LOCKS MEDICAL CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-627-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "026154",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CT",
            "license": "026154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OV1001",
            "identifier": "HEALTHNET",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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