Jeff A Wisniowski, DO | |
365 Montauk Ave, New London, CT 06320-4700 | |
(860) 271-4326 | |
Not Available |
Full Name | Jeff A Wisniowski |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750841631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 292012 (Massachusetts) | Secondary |
207P00000X | Emergency Medicine | DO01144 (Rhode Island) | Primary |
Entity Name | Emergency Care Services Of New England Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639537335 PECOS PAC ID: 9739487562 Enrollment ID: O20160412001747 |
Mailing Address | Practice Location Address |
---|---|
Jeff A Wisniowski, DO 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 271-4326 | Jeff A Wisniowski, DO 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 271-4326 |
Samuel Maryles, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677 | |
Michael James Drechsler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Dr. Anthony Noto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Russell Firman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677 | |
Siri L Daulaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Jayson Podber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677 | |
Sophia Gee O'donnell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, Emergency Medicine Department, New London, CT 06320 Phone: 860-444-3733 |