Individual provider · Type 1 NPI
Timothy G. Waksmonski
Basic Emergency Medical Technician · New London, CT
NPI number
1053370148
Active
Practice location
15 Mohegan Ave
New London, CT 06320-8100
Fax (860) 444-8413
Mailing address
1538 Route 12, Unit 7
Gales Ferry, CT 06335-1845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician Primary | 146N00000X | 24720000X (CA) |
Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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About NPI 1053370148
Timothy G. Waksmonski's National Provider Identifier is 1053370148, issued on Mar 20, 2006. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in New London, CT. The record was last updated on Jul 13, 2026.