Organization
RICHARD J. WILCON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAY WILCON M.D. (OWNER)
(860) 564-4068
Entity
Organization
Contact information
Practice address
122 PLAINFIELD RD, MOOSUP, CT 06354-1632
(860) 564-4068
(860) 564-4879
Mailing address
122 PLAINFIELD RD, MOOSUP, CT 06354-1632
(860) 564-4068
(860) 564-4879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032260
CT
Other
Enumeration date
10/05/2007
Last updated
10/26/2007
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