Individual
DR. ROBERT JOSEPH WYGONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043462388
TAX ID
—
01
—
152228
HARVARD PILGRIM MEDICAL
—
01
—
1672037
UNITED CONCORDIA DENTAL
—
01
—
19609
DELTA DENTAL
MA
01
—
19609
TUFTS MEDICAL
—
01
—
1960950
CIGNA DENTAL
—
01
—
2804025
AETNA
—
01
—
280425
US HEALTHCARE
—
01
—
3318505
TRI CARE MEDICAL
—
01
—
351151
UNITED HEALTH CARE DENTAL
—
01
—
554390
CIGNA MEDICAL
—
01
—
X07807
BCBS DENTAL MEDICAL GRP
MA
01
—
X11480
BCBS DENTAL MEDICAL GRP
MA
Enumeration date
05/11/2006
Last updated
08/10/2012
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