| Alan Wolkoff D,m.d. | |
|
93 Wedgewood Dr Waterbury CT 06705-3611 | |
| (203) 753-2274 | |
| (203) 597-8656 |
| Full Name | Alan Wolkoff D,m.d. |
|---|---|
| Speciality | Dentist |
| Location | 93 Wedgewood Dr, Waterbury, Connecticut |
| Authorized Official Name and Position | Alan Wolkoff (OWNER) |
| Authorized Official Contact | 2037532274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Wolkoff D,m.d. 93 Wedgewood Dr P,o,box 3066 Waterbury CT 06705-3611 Ph: (203) 753-2274 | Alan Wolkoff D,m.d. 93 Wedgewood Dr Waterbury CT 06705-3611 Ph: (203) 753-2274 |
| NPI Number | 1942553060 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942553060 | NPI | - | NPPES |
| 002053890 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5389 (Connecticut) | Primary |
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