Individual
DR. JOHN S WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 900, HARTFORD, CT 06106-5501
(860) 241-0700
(860) 525-7881
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046333
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046333
LICENSE
CT
Enumeration date
08/31/2006
Last updated
01/22/2010
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