NPI 1093141061
Maxine E Wilson
Practice location
- Address
- 15 Scuppo Rd Unit1001, Danbury, CT 06811-5303
- Phone
- (203) 826-7713
- Fax
- (203) 826-7713
- Mailing address
- 15 Scuppo Rd Unit 1001, Danbury, CT 06811-5303
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1093141061
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Sep 2013
- Record last updated
- 22 Sep 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.