Individual
JOHN WAYAWOTZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
174 DANBURY RD, NEW MILFORD, CT 06776
(860) 354-5537
(860) 350-9340
Mailing address
174 DANBURY RD, NEW MILFORD, CT 06776
(860) 354-5537
(860) 350-9340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0938
CT
Other
Enumeration date
09/29/2006
Last updated
04/16/2020
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