Individual
DR. BENJAMIN JOHN WYCHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SOUTH ROAD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032
(860) 284-4950
(860) 284-4951
Mailing address
21 SOUTH ROAD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032
(860) 284-4950
(860) 284-4951
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
049616
CT
Other
Enumeration date
08/26/2008
Last updated
09/07/2011
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