MR. TIMOTHY G WAKSMONSKI NPI 1053370148

NPI Information

NPI: 1053370148
Provider Name: MR. TIMOTHY G WAKSMONSKI
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Individual
Address:
15 MOHEGAN AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 444-8408
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MR. Timothy G Waksmonski is an emergency medical technician basic in New London, CT. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. MR. Timothy G Waksmonski NPI is 1053370148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 MOHEGAN AVE
NEW LONDON, CT
ZIP 06320-100
Phone: (860) 444-8408
Fax: (860) 444-8413

The enumeration date for this NPI number is 3/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic		24720000X	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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