Zachary Wigham

NPI 1538569918 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1538569918
Gender Male
Enumeration Date 09/04/2014
Last Updated 09/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
153 HAZARD AVE
ENFIELD CT, 06082-4592, US
Phone (860) 253-5020
Fax (860) 253-5030
Business Location
153 HAZARD AVE
ENFIELD CT, 06082-4592, US
Phone (860) 253-5020
Fax (860) 253-5030
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Zachary Wigham NPI is 1538569918, taxonomy code is 390200000X Zachary Wigham physically located at 153 Hazard Ave, Enfield CT, 06082-4592. NPI Number Zachary Wigham has the Individual type.

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1538569918 NPI number is provided on an as is basis without warranty of any kind. 1538569918 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Wigham are for informational purposes only.