Individual
WYLIE DAVID HOSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 MERIDEN AVE STE 1A, SOUTHINGTON, CT 06489-3237
(860) 621-9316
(860) 620-5526
Mailing address
55 MERIDEN AVE STE 1A, SOUTHINGTON, CT 06489-3237
(860) 621-9316
(860) 620-5526
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
048427
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A937780
—
CA
Enumeration date
01/08/2007
Last updated
08/16/2010
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