Provider Demographics
NPI:1407173115
Name:ABERIZK, WILLIAM J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:ABERIZK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:
Other - Last Name:ABERIZK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:144 LEDGEWOOD ROAD
Mailing Address - Street 2:#108
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340
Mailing Address - Country:US
Mailing Address - Phone:860-614-3066
Mailing Address - Fax:
Practice Address - Street 1:166 LEDGEWOOD RD
Practice Address - Street 2:APT 108
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-6614
Practice Address - Country:US
Practice Address - Phone:860-614-3066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0246182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology