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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WILLIAM VANDERVEER PROBASCO, M.D., M.S.

Active

DR. WILLIAM VANDERVEER PROBASCO, M.D., M.S. is a Sports Medicine (Orthopaedic) healthcare provider located in FAIRFIELD, Connecticut. NPI 1336503382 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · FAIRFIELD, CT

Registration Details

NPI Number
1336503382
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2016 (10.315113026851 yrs)
Last Updated
Oct 3, 2022
Licenses
D91392 (MD)
69667 (CT)

Practice Information

Address
305 BLACK ROCK TPKE
FAIRFIELD, CT, 068255508
Browse CT providers · Browse ZIP 06825
Phone
2033372600
Fax
2033372611
Primary Specialty
Sports Medicine (Orthopaedic)
207XX0004X
Additional Specialty
Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.