Search › Connecticut › 122300000X
Edward Wysocki, D.M.D
NPI 1265693907 · on the registry since 2008 · sole proprietor
Practice
- Address
- 229 Main St
Portland, CT 06480 - Phone
- (860) 342-2516
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-29
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