Individual
DR. WILLIAM THEODORE PASTUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-2249
(860) 545-2204
Mailing address
99 E RIVER DR, 5TH FL, EAST HARTFORD, CT 06108-3288
(860) 282-4137
(860) 289-0742
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
016441
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274787
—
CT
Enumeration date
10/10/2005
Last updated
01/10/2014
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