| Richard J. Wilcon | |
|
122 Plainfield Rd Moosup CT 06354-1632 | |
| (860) 564-4068 | |
| (860) 564-4879 |
| Full Name | Richard J. Wilcon |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 Plainfield Rd, Moosup, Connecticut |
| Authorized Official Name and Position | Richard Jay Wilcon (OWNER) |
| Authorized Official Contact | 8605644068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Wilcon 122 Plainfield Rd Moosup CT 06354-1632 Ph: (860) 564-4068 | Richard J. Wilcon 122 Plainfield Rd Moosup CT 06354-1632 Ph: (860) 564-4068 |
| NPI Number | 1114115003 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114115003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032260 (Connecticut) | Primary |
Hope Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 Main St, Moosup, CT 06354 Phone: 401-338-0673 |