Dennis J Kobylarz
Family Doctor
10 Granite Ave.
Canaan
, Connecticut 06018-0970
Dennis J Kobylarz
Family Doctor
10 Granite Ave.
Canaan
, Connecticut 06018-0970
(860) 824-4448
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dennis J Kobylarz
- Po Box 970
- Canaan, CT
- Zip : 06018-0970
- Fax : (860) 824-4448
- Phone : (860) 824-0753
Second Address
- Dennis J Kobylarz
- 10 Granite Ave.
- Canaan, CT
- Zip : 06018-0970
- Fax : (860) 824-4448
- Phone : (860) 824-0753
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 027736 | CT |
National Provider Identifier
| NPI | 1003813965 |
|---|---|
| Provider Name | Dennis J Kobylarz |
| First Address | Canaan, CT 06018-0970 |
| Second Address | Canaan, CT 06018-0970 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2005 |
| Last Update Date | 03/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000026702 | BMC HEALTHNET (01) | MA |
| 001277367 | (05) | CT |
| 010017975 | RAILROAD MEDICARE (01) | CT |
| 010027736CT01 | BLUE CROSS BLUE SHIEL CT (01) | CT |
| 0119144 | EVERCARE (01) | |
| 054714 | TUFTS (01) | MA |
| 080001602 | MEDICARE CT (01) | CT |
| 081142 | MVP (01) | NY |
| 13644 | HEALTH NEW ENGLAND (01) | MA |
| 2V5878 | HEALTHNET (01) | CT |
| 3003621 | (05) | MA |
| 366275 | AETNA (01) | |
| 5996764 | GHI (01) | NY |
| 779997 | CONNECTICARE (01) | CT |
| A21057 | MEDICARE MA (01) | MA |
| A67899 | (02) | |
| A67899 | HARVARD (01) | MA |
| P3296700 | OXFORD (01) | |
| RO1115 | BLUE CROSS BLUE SHIELD MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.