Pastuszak, William Theodore

Pastuszak, William Theodore is an individual health care provider with primary practice located at 80 Seymour St , Hartford CT 06102-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pastuszak, William Theodore can be contacted via phone (860) 545-2249.

Contact Information

Primary practice address
80 Seymour St Hartford CT 06102-8000
Fax: (860) 545-2204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 016441 Connecticut

Profile Details

NPI number 1366430886
LBN Legal business name Pastuszak, William Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jan 10th, 2014 - about 10 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 1366430886 NPPES
Connecticut MEDICAID 001274787

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