# PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881936029
- **Authorized official:** EWA GASZEK (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (860) 282-4137

## Contact information

- **Practice address:** 394 W CENTER ST, MANCHESTER, CT 06040-4735
- **Practice address phone:** (860) 759-0060
- **Practice address fax:** (860) 633-6041
- **Mailing address:** 318 FELDSPAR RDG, GLASTONBURY, CT 06033-3391
- **Mailing address phone:** (860) 759-0060
- **Mailing address fax:** (860) 633-6041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | CT | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | CT | Yes |

## Other

- **Enumeration date:** 03/26/2013
- **Last updated:** 03/26/2013