Individual
DR. TADEUSZ RACHWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CHESTNUT HILL RD, JMH, STAFFORD SPRINGS, CT 06076-4005
(860) 684-8290
(860) 684-8179
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001354117
—
CT
Enumeration date
01/04/2006
Last updated
06/17/2009
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