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Individual

NICHOLAS KURUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
160 MIDLAND RD, PALADIN HOUSE, WATERBURY, CT 06705-3415
(203) 597-1935
(203) 597-8811
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CERT
COMMUNITY EMERGENCY RESPONSE TEAM
CT
Enumeration date
07/28/2014
Last updated
07/28/2014
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