Individual
THOMAS J. MODZELESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
88 SOMERWYND LN, SUFFIELD, CT 06078-1229
(860) 668-0512
(860) 668-2838
Mailing address
50 GRISWOLD ST, HOSPITAL OF CENTRAL CONNECTICUT, NEW BRITAIN, CT 06052-2008
(860) 224-5267
(860) 224-5752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
09/01/2009
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