Individual
DONNA W KLIMOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
041204
CT
2084P0802X
Addiction Psychiatry Physician
041204
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039244
—
CT
01
—
041204
PHYSICIAN/SURGEON
CT
01
—
106276
MANAGED HEALTH NETWORK
CT
01
—
235143
COMPSYCH
CT
01
—
77ABH0005CT01
ANTHEM BEHAVIORAL HEALTH
CT
01
—
ANC1406
OXFORD BEHAVIORAL HEALTH
CT
Enumeration date
05/10/2006
Last updated
09/02/2011
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