Individual
MAGDALENA WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMNP-BC
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(860) 824-1397
Mailing address
14 RYANS WAY, BURLINGTON, CT 06013-1822
(860) 539-7538
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
9672
CT
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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