Individual
RICHARD JAY WILCON
Active
Individual
RICHARD JAY WILCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032260
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001322601
—
CT
01
—
010032260CT01
ANTHEM BC/BS
—
01
—
01032260
CIGNA HEALTH PLANS
—
01
—
030486
HEALTH NET
—
01
—
110093870
RAILROAD MEDICARE
—
01
—
705139
CONNECTICARE
—
01
—
P367719
OXFORD HEALTH PLANS
—
Enumeration date
07/26/2006
Last updated
10/26/2007
Update your record
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