Individual
ZOFIA S MROCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
772 QUINEBAUG RD, ROUTE 131, QUINEBAUG, CT 06262
(860) 935-9273
(860) 935-9087
Mailing address
P.O. BOX 219, 772 QUINEBAUG RD RT 131, QUINEBAUG, CT 06262
(860) 935-9273
(860) 935-9087
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0040328
CT
2084N0400X
Neurology Physician
159082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104311
—
MA
01
—
0836203002
CIGNA
—
05
—
983771
—
MA
05
—
DO1403287
—
MA
01
—
J22893
BLUE CROSS
—
Enumeration date
11/13/2006
Last updated
10/11/2011
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