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Individual

DR. THOMAS EDWARD CIESIELSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 FOUNDERS PLZ, #300 C/O IPMS, EAST HARTFORD, CT 06108-3212
(860) 282-4137
(860) 282-0170
Mailing address
111 FOUNDERS PLZ, #300 C/O IPMS, EAST HARTFORD, CT 06108-3212
(860) 282-4137
(860) 282-0170

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
015399
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00153999
CT
Enumeration date
10/10/2005
Last updated
04/13/2016
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