701 ENFIELD ST
ENFIELD, CT 06082-2961 US PECOS Enrolled
Julie M WondolowskI
Physician Assistant (Medical)
- ENFIELD, CT
- Phone: (860)-741-6058
- Last Updated 2/16/2010
Overview
Julie M WondolowskI is a Physician Assistant (Medical) in the ENFIELD area and has over 23 years of experience. Julie M WondolowskI primary office location is at 701 ENFIELD ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2001 The NPI number is 1205857000 and the information was updated approximately 14 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 001474 | CT |
| 1299 | MA |
| PA1299 | MA |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Physician Assistant (Medical) - Taxonomy Code 363AM0700X | CT | Y |
| Physician Assistant (Medical) - Taxonomy Code 363AM0700X | MA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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