Individual provider · Type 1 NPI

Brian Wasicek

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1699304121 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-1410

Call (860) 679-4733 Map

Other practice locations

  • 326 Washington St, Norwich, CT 06360-2740 · (860) 889-8331

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X72791 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699304121

Brian Wasicek's National Provider Identifier is 1699304121, issued on Apr 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Nov 10, 2022.