Individual
DR. JOHNNY C WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.P.M.
Contact information
Practice address
340 BROAD ST, SUITE 100, WINDSOR, CT 06095-3030
(860) 580-7170
(860) 580-7177
Mailing address
340 BROAD ST, STE 100, WINDSOR, CT 06095-3030
(413) 505-4888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049981
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
80178
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045010
—
CT
05
—
008056720
—
CT
01
—
1679974521
NPI
—
Enumeration date
01/23/2007
Last updated
03/02/2016
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