MR. Timothy G Waksmonski
NPI #1053370148 in New London, Connecticut
Provider Information
- NPI Number
- 1053370148
- Entity Type
- Individual
- Name
- MR. Timothy G Waksmonski
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Emergency Medical Technician, Basic
- Enumeration Date
- Mar 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 MOHEGAN AVE
- City
- New London
- State
- Connecticut
- ZIP Code
- 06320-8100
- Phone
- (860) 444-8408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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Organizations
| Provider Name | |
|---|---|
| Old Mystic Fire District |
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