Organization
CT OSTEOPATHIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY R CZARNECKI DO (PHYSICIAN)
(860) 922-3493
Entity
Organization
Contact information
Practice address
41 BALDWIN LN, GLASTONBURY, CT 06033-3845
(860) 922-3493
Mailing address
41 BALDWIN LN, GLASTONBURY, CT 06033-3845
(860) 922-3493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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