Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 030276 | CT |
N | 208600000X | Surgeon | 030276 | CT |
N | 2082S0105X | Plastic Hand Surgeon | 030276 | CT |
NPI | 1447283460 |
---|---|
Provider Name | Danuta Jaworska-Bzymek |
First Address | Middletown, CT 06457 |
Second Address | Middletown, CT 06457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0100322760705 | BS (01) | |
0V1978 | HEALTHNET (01) | |
F08050 | (02) |