Healthcare Provider Details

I. General information

NPI: 1477016582
Provider Name (Legal Business Name): WILLIAM ROBERT GESZTES MD, MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 SILAS DEANE HWY STE 101
WETHERSFIELD CT
06109-4337
US

IV. Provider business mailing address

198 HALPINE RD APT 1350
ROCKVILLE MD
20852-7622
US

V. Phone/Fax

Practice location:
  • Phone: 860-859-9061
  • Fax: 860-889-6200
Mailing address:
  • Phone: 240-406-2848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number85990
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: