Individual
CECILY D. WISWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 WILBRAHAM ROAD, SPRINGFIELD, MA 01109-3161
(413) 794-3710
(413) 794-9595
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
284307
MA
Other
Enumeration date
03/25/2016
Last updated
09/28/2020
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