Individual
DR. CHRISTIN HOMISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 LATHROP AVE, NORWICH, CT 06360-2309
(860) 204-0332
(860) 204-0115
Mailing address
2 LATHROP AVE, NORWICH, CT 06360-2309
(860) 204-0332
(860) 204-0115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041580
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004158CT03
ANTHEM BLUE CROSS
CT
05
—
IP001415802
—
CT
Enumeration date
05/03/2006
Last updated
11/22/2011
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