Organization
UCONN HEALTH CENTER ANESTHESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EWA GASZEK (CREDENTIALER)
(860) 282-4137
Entity
Organization
Contact information
Practice address
99 E RIVER DR, EAST HARTFORD, CT 06108-3288
(860) 282-4137
(860) 289-0742
Mailing address
99 E RIVER DR, EAST HARTFORD, CT 06108-3288
(860) 282-4137
(860) 289-0742
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CT
367500000X
Certified Registered Nurse Anesthetist
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004219334
—
CT
01
—
004219839
APRN GROUP CT MEDICAID
CT
Enumeration date
05/10/2006
Last updated
06/05/2013
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