Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 232388 | MA |
N | 207V00000X | Obstetrician & Gynecologist | 63682 | CT |
N | 207V00000X | Obstetrician & Gynecologist | MD452198 | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 63682 | CT |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD452198 | PA |
NPI | 1083811186 |
---|---|
Provider Name | Anna L Pilzek |
First Address | Hartford, CT 06106-5501 |
Second Address | Hartford, CT 06106-5501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 04/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
364714 | MEDICARE (01) | PA |