| Robert S Mcwilliam Md Llc | |
|
4 S Pomperaug Ave Woodbury CT 06798-3709 | |
| (203) 266-0404 | |
| (203) 263-0511 |
| Full Name | Robert S Mcwilliam Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4 S Pomperaug Ave, Woodbury, Connecticut |
| Authorized Official Name and Position | Robert S Mcwilliam (OWNER) |
| Authorized Official Contact | 2032660404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Mcwilliam Md Llc 4 S Pomperaug Ave Woodbury CT 06798-3709 Ph: (203) 266-0404 | Robert S Mcwilliam Md Llc 4 S Pomperaug Ave Woodbury CT 06798-3709 Ph: (203) 266-0404 |
| NPI Number | 1215486261 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/30/2016 |
| Medicare PECOS PAC ID | 6800176553 |
|---|---|
| Medicare Enrollment ID | O20161215000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215486261 | NPI | - | NPPES |
| 001228857 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 022885 (Connecticut) | Primary |
| Provider Name | Robert S Mcwilliam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619071602 PECOS PAC ID: 0042477218 Enrollment ID: I20120131000819 |
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