Individual
DENISE LYNN KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CRITICAL CARE MEDICINE, HARTFORD, CT 06102-5037
(860) 545-5200
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003021706
—
CT
Enumeration date
09/18/2008
Last updated
03/19/2021
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