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Individual

DR. STANISLAW PIOTR CHORZEPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
211 NEW BRITAIN RD, SUITE 103, KENSINGTON, CT 06037-1360
(860) 893-0300
(860) 893-0301
Mailing address
211 NEW BRITAIN RD, SUITE 103, BERLIN, CT 06037-1360
(860) 893-0300
(860) 893-0301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040472
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001404722
CT
01
1750375127
NPI INDIVIDUAL
CT
Enumeration date
08/31/2005
Last updated
06/03/2008
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