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Individual

DR. EDWARD STANLEY SAWICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1703 MAIN ST, WILLIMANTIC, CT 06226-1162
(860) 456-1781
(860) 450-1660
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT, WETHERSFIELD, CT 06109-4337
(860) 972-6970

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1163922
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16392
CT LICENSE
CT
Enumeration date
07/20/2005
Last updated
09/03/2019
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