Individual
MRS. EMILY MARTON WIEZALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2288 BERLIN TURNPIKE, 2288 BERLIN TURNPIKE, NEWINGTON, CT 06111
(860) 757-3575
Mailing address
312 GEORGETOWN DR, GLASTONBURY, CT 06033-2357
(860) 729-2545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7323
CT
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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