Basic Information
| Provider Information | |||||||||
| NPI: | 1033554555 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WOJECK | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | SEBASTIAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. M. P.H | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 CEDAR ST | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065103206 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 260 LONG RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | STAMFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 069021638 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037371058 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2013 | ||||||||
| LastUpdateDate: | 05/18/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | R73752 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RB0002X | 56568 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Bariatric Medicine | 207RS0012X | 56568 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RE0101X | 56568 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.