Individual
JOHN J WYSOLMERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA CLINIC BUILDING, NEW HAVEN, CT 06520-8020
(203) 737-1058
(203) 737-2812
Mailing address
PO BOX 208020, 789 HOWARD AVENUE, NEW HAVEN, CT 06520-8020
(203) 737-1058
(203) 738-2812
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
030740
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307405
—
CT
Enumeration date
03/13/2007
Last updated
01/28/2013
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