Wysocki, John D

Wysocki, John D is an individual health care provider with primary practice located at 2400 Tamarack Ave Suite 101, South Windsor CT 06074-5555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wysocki, John D can be contacted via phone (860) 644-4442.

Contact Information

Primary practice address
2400 Tamarack Ave Suite 101 South Windsor CT 06074-5555
Phone: (860) 644-4442
Fax: (860) 644-1412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 055947 Connecticut

Profile Details

NPI number 1457594103
LBN Legal business name Wysocki, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457594103 NPPES
Connecticut Other 7019762 CIGNA
Connecticut Other 4886159 CIGNA

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