Organization
PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA GASZEK (CREDENTIALING SUPERVISOR)
(860) 282-4137
Entity
Organization
Contact information
Practice address
394 W CENTER ST, MANCHESTER, CT 06040-4735
(860) 759-0060
(860) 633-6041
Mailing address
318 FELDSPAR RDG, GLASTONBURY, CT 06033-3391
(860) 759-0060
(860) 633-6041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
CT
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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