Provider Demographics
NPI:1184164477
Name:WILLIAM P GUINAN AND ASSOCIATES LLC
Entity type:Organization
Organization Name:WILLIAM P GUINAN AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GUINAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-331-7555
Mailing Address - Street 1:436 MIDDLE TPKE E
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-3736
Mailing Address - Country:US
Mailing Address - Phone:860-331-7555
Mailing Address - Fax:
Practice Address - Street 1:25 OAKLAND RD STE 1
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-2897
Practice Address - Country:US
Practice Address - Phone:860-644-5628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028847174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty