Ciesielski, Thomas Edward

Ciesielski, Thomas Edward is an sole proprietor health care provider with primary practice located at 111 Founders Plz #300 C/O Ipms, East Hartford CT 06108-3212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ciesielski, Thomas Edward can be contacted via phone (860) 282-4137.

Contact Information

Primary practice address
111 Founders Plz #300 C/O Ipms East Hartford CT 06108-3212
Fax: (860) 282-0170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 015399 Connecticut

Profile Details

NPI number 1972591477
LBN Legal business name Ciesielski, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Apr 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972591477 NPPES
Connecticut MEDICAID 00153999

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