Provider Demographics
NPI:1548256373
Name:PINTAURO, WILLIAM M (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:PINTAURO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MORGAN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5466
Mailing Address - Country:US
Mailing Address - Phone:203-325-8533
Mailing Address - Fax:203-325-0031
Practice Address - Street 1:90 MORGAN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5466
Practice Address - Country:US
Practice Address - Phone:203-325-8533
Practice Address - Fax:203-325-0031
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT018578174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
022176OtherHEALTHNET ID #
010018578CT01OtherBC/BS ID #
185780OtherCT CARE ID #
525435OtherAETNA ID NUMBER
25128OtherOXFORD ID #
061221945OtherUNITED HEALTHCARE ID #
25128OtherOXFORD ID #
100000054Medicare ID - Type Unspecified