Provider Demographics
NPI:1811063282
Name:WINDELS, CECILE P (MD)
Entity type:Individual
Prefix:
First Name:CECILE
Middle Name:P
Last Name:WINDELS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 POST RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4745
Mailing Address - Country:US
Mailing Address - Phone:203-655-6000
Mailing Address - Fax:203-655-6003
Practice Address - Street 1:745 POST RD STE 100
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4745
Practice Address - Country:US
Practice Address - Phone:203-655-6000
Practice Address - Fax:203-655-6003
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028744208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001287441Medicaid
CT4228671OtherAETNA
CTZP285OtherOXFORD
CT010028744CT02OtherBLUE CROSS-DARIEN
CT287440OtherCONNECTICARE
CT010028744CT01OtherBLUE CROSS-STAMFORD
CT10446988OtherCAQH
CT4228671OtherAETNA