Organization
TIMOTHY M BARCZAK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY M BARCZAK MD (OWNER)
(860) 444-6711
Entity
Organization
Contact information
Practice address
345 MONTAUK AVE, NEW LONDON, CT 06320-4738
(860) 444-6711
(860) 437-0650
Mailing address
345 MONTAUK AVE, NEW LONDON, CT 06320-4738
(860) 444-6711
(860) 437-0650
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
024666
CT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
000368
CT
Other
Enumeration date
05/08/2007
Last updated
09/12/2007
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