Individual
DR. MATTHEW WOLENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 SCOVILL ST STE 308, WATERBURY, CT 06706
(203) 709-6680
(203) 709-6683
Mailing address
56 FRANKLIN ST FL 3, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA09184300
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
64557
CT
207X00000X
Orthopaedic Surgery Physician
70496
WI
207X00000X
Orthopaedic Surgery Physician
ME109934
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2006
Last updated
11/12/2019
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