Individual
DAVID MISIASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
480 FITCHVILLE RD, GILMAN, CT 06336-1000
(860) 961-4923
Mailing address
480 FITCHVILLE RD, GILMAN, CT 06336-1000
(860) 961-4923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
E55459
CT
363LF0000X
Family Nurse Practitioner
Primary
11670
CT
Other
Enumeration date
02/21/2023
Last updated
05/10/2023
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