Search › Connecticut › 174400000X
Maxine Wilson
NPI 1093141061 · on the registry since 2013 · sole proprietor
Practice
- Address
- 15 Scuppo Rd
Unit1001
Danbury, CT 06811 - Phone
- (203) 826-7713
- Fax
- (203) 826-7713
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut