KERI WIECZERZAK

HARTFORD, CT
NPI1790314565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2020-04-03
Last Update Date2024-05-06
Business Address
KERI WIECZERZAK
80 JEFFERSON ST
HARTFORD, CT 06106-5035
Phone number: 860-972-5022
Mailing Address
KERI WIECZERZAK
51 CHURCH ST
MYSTIC, CT 06355-2745
Phone number: 973-349-9314