Specialists In Women'S Healthcare Pc

LBN: Specialists In Women'S Healthcare Pc
Specialists In Women'S Healthcare Pc is an health care organization with primary practice located at 134 Grandview Ave Ste 210, Waterbury CT 06708-2507. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Specialists In Women'S Healthcare Pc can be contacted via phone (203) 754-2535, or through Kaczmarek, John Conrad via phone (203) 754-2535.

Contact Information

Primary practice address
134 Grandview Ave Ste 210 Waterbury CT 06708-2507
Phone: (203) 754-2535
Fax: (203) 754-0788
Website:
Map and Directions
Authorized official contact:
Name: Kaczmarek, John Conrad Doctor of Medicine (MD)
Phone: (203) 754-2535

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1114928827
LBN Legal business name Specialists In Women'S Healthcare Pc
DBA Doing business as
Authorized official Kaczmarek, John Conrad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Apr 18th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114928827 NPPES
Connecticut MEDICAID 004190310

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