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MR. LESZEK A KOLODZIEJCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
162 MANSFIELD AVE., B, WILLIMANTIC, CT 06226
(860) 423-5000
(860) 423-4838
Mailing address
5 FOUNDERS ST, STE 102, WILLIMANTIC, CT 06226-2050
(860) 423-5000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
032557
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001325572
BLUE CARE FAMILY PLAN
CT
05
001325572
CT
01
010032557CT01
ANTHEM BC / BS
CT
01
030946
HEALTHNET
CT
01
0811232
AETNA / US HEALTHCARE
CT
01
767225
CONNECTICARE
CT
01
9079072002
CIGNA
CT
01
P04569
CHN
CT
01
P469467
OXFORD
CT
Enumeration date
06/23/2006
Last updated
09/03/2019
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