Individual
RAYMOND E WINICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 GRANDVIEW AVE, STE 201, WATERBURY, CT 06708-2520
(203) 578-4630
(203) 578-4629
Mailing address
171 GRANDVIEW AVE, SUITE 201, WATERBURY, CT 06708-2520
(203) 578-4630
(203) 578-4629
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
040374
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001403740
—
CT
Enumeration date
06/17/2005
Last updated
06/24/2021
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