Puchalski, Jonathan Thomas
Puchalski, Jonathan Thomas is an individual health care provider with primary practice located at 330 Cedar St Boardman Building Rm 205, New Haven CT 06510-3218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Puchalski, Jonathan Thomas can be contacted via phone (203) 688-5864.Contact Information
Primary practice address
330 Cedar St Boardman Building Rm 205
New Haven CT 06510-3218
Phone: (203) 688-5864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 047218 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35077075 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD432420 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 047218 | Connecticut |
Profile Details
| NPI number | 1215909072 |
|---|---|
| LBN Legal business name | Puchalski, Jonathan Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jan 16th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215909072 | NPPES |
| Ohio | MEDICAID | 2360761 |
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