Individual
DR. MATTHEW S WOSNITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 POST RD, SUITE 204, FAIRFIELD, CT 06824-6232
(212) 305-0112
(212) 305-0114
Mailing address
425 POST RD, SUITE 204, FAIRFIELD, CT 06824-6232
(212) 305-0112
(212) 305-0114
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
053175
CT
208800000X
Urology Physician
Primary
246417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619134269
—
CT
Enumeration date
05/21/2008
Last updated
10/12/2015
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