Individual
DR. MICHELE DIANE KOLESZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4675 MAIN ST, BRIDGEPORT, CT 06606-1813
(203) 372-9998
(203) 373-9095
Mailing address
4675 MAIN ST, BRIDGEPORT, CT 06606-1813
(203) 372-9998
(203) 373-9095
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
028587
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001285875
—
CT
Enumeration date
06/23/2006
Last updated
11/06/2008
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