Individual
PAUL NIEDBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1389
(860) 599-5477
Mailing address
11 BANKER CT, PAWCATUCK, CT 06379-1345
(860) 235-0347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10296
CT
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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