IndividualActive
Timothy Waksmonski
NPI 1053370148 · Basic Emergency Medical Technician · New London, CT
Provider details
- NPI number
- 1053370148
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- License
- 24720000X (CA)
Practice location
15 Mohegan Ave
New London, CT 06320-8100
Phone: (860) 444-8408
Fax: (860) 444-8413
Mailing address
1538 Route 12
Gales Ferry, CT 06335-1845
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.