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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215909072 NPPES
Ohio MEDICAID 2360761

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