Individual
DR. WESLEY NILSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST DEPT OF, BRIDGEPORT, CT 06610-2805
(203) 384-3990
Mailing address
77 CHURCH DR, CHESHIRE, CT 06410-3104
(702) 327-0995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
71885
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
03/27/2018
Last updated
06/28/2022
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