Organization
CHELSEA SURGICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WESOLEK MD (PARTNER)
(860) 886-0660
Entity
Organization
Contact information
Practice address
330 WASHINGTON ST, SUITE 420, NORWICH, CT 06360-2700
(860) 886-0660
(860) 886-9305
Mailing address
330 WASHINGTON ST, SUITE 420, NORWICH, CT 06360-2700
(860) 886-0660
(860) 886-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23658
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004182680
—
CT
01
—
50CHELSEACT01
BCBS
CT
01
—
CI9443
MEDICARE RAILROAD
CT
Enumeration date
07/15/2006
Last updated
07/19/2011
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