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TIMOTHY M BARCZAK MD LLC NPI 1477766202


NPI Information

NPI: 1477766202
Provider Name: TIMOTHY M BARCZAK MD LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
345 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 444-6711
Get Directions

TIMOTHY M BARCZAK MD LLC is a gynecology obstetrics gynecology in New London, CT. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee TIMOTHY M BARCZAK MD LLC NPI is 1477766202. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

345 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-738
Phone: (860) 444-6711
Fax: (860) 437-0650

The provider's authorized official is Timothy M Barczak .
The authorized official title is Owner and has the following contact phone number (860) 444-6711.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 9/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LX0001XNurse PractitionerObstetrics & Gynecology000368CONNECTICUTNo
2207VG0400XObstetrics & GynecologyGynecology024666CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B83613MEDICARE UPINCONNECTICUT
2S47007MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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