Individual
DR. JOHN KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 GRANDVIEW AVE, SUITE 210, WATERBURY, CT 06708-2507
(203) 754-2535
(203) 756-9921
Mailing address
134 GRANDVIEW AVE, SUITE 210, WATERBURY, CT 06708-2507
(203) 754-2535
(203) 756-9921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
033371
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001333715
—
CT
Enumeration date
06/07/2006
Last updated
09/07/2010
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