Individual
DR. PRESCOTT S. WISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
2 DEVINE STREET, SUITE # 1, NORTH HAVEN, CT 06473-2193
(203) 789-2272
(203) 865-8614
Mailing address
2 DEVINE STREET, SUITE # 1, NORTH HAVEN, CT 06473-2193
(203) 789-2272
(203) 865-8614
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
026355
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060019527
MEDICARE RAILROAD PIN
CT
Enumeration date
08/04/2006
Last updated
02/27/2013
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