Individual
DR. MARC KAWALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 PEARL ST, NEW BRITAIN, CT 06051-2644
(860) 223-3810
Mailing address
3 PHEASANT HL, FARMINGTON, CT 06032-1629
(860) 674-1213
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22079
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001220797
—
CT
Enumeration date
06/26/2006
Last updated
07/08/2007
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