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Organization
PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC
Active
Organization
PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA GASZEK (CREDENTIALING SUPERVISOR)
(860) 282-4137
Entity
Organization
Contact information
Practice address
394 W CENTER ST, MANCHESTER, CT 06040-4735
(860) 759-0060
(860) 633-6041
Mailing address
318 FELDSPAR RDG, GLASTONBURY, CT 06033-3391
(860) 759-0060
(860) 633-6041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
CT
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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