Richard J. Wilcon

NPI #1114115003 in Moosup, Connecticut

Provider Information

NPI Number: 1114115003
Entity Type: Organization
Organization Name: Richard J. Wilcon
Primary Specialty: Internal Medicine
Enumeration Date: Oct 5, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 122 PLAINFIELD RD
City: Moosup
State: Connecticut
ZIP Code: 06354-1632
Phone: (860) 564-4068

Authorized Official

Name: DR. RICHARD JAY WILCON, M.D.
Title: OWNER
Phone: (860) 564-4068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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