Individual
MRS. ALICIA MARIE KOLACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
375 WILLARD AVE, NEWINGTON, CT 06111-2300
(860) 666-5111
Mailing address
52 OLD CIDER MILL RD, SOUTHINGTON, CT 06489-1873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14301
CT
Other
Enumeration date
12/17/2024
Last updated
02/03/2025
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