Jeff A Wisniowski, DO Valid NPI

Individual provider · Emergency Medicine Physician · New London, CT

NPI

1750841631

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

DO01144 (RI)

Sex

Male

Sole proprietor

No

Enumerated

2019-03-25

Last updated

2024-06-12