Provider Demographics
NPI:1154427656
Name:BECKER, WILLIAM CLARK (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CLARK
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:195 WOOSTER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5711
Mailing Address - Country:US
Mailing Address - Phone:203-623-4539
Mailing Address - Fax:203-688-4092
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-688-2984
Practice Address - Fax:203-688-4092
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT042124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine