Individual
MR. JURG W.J. OGGENFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
130 W MAIN ST, PLAINVILLE, CT 06062-1945
(860) 502-9563
(860) 855-6360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3800-33
WI
363LF0000X
Family Nurse Practitioner
Primary
12.005701
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008050312
—
CT
Enumeration date
08/20/2009
Last updated
03/21/2023
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