Dr. Bohdan J Warycha
Pain Medicine
1579 Straits Tpke Lowr Level
Middlebury
, Connecticut 06762-1835
Dr. Bohdan J Warycha
Pain Medicine
1579 Straits Tpke Lowr Level
Middlebury
, Connecticut 06762-1835
(203) 598-0200
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Bohdan J Warycha
- 1579 Straits Turnpike Lower Level
- Middlebury, CT
- Zip : 06762
- Fax : (203) 598-0200
- Phone : (203) 598-7246
Second Address
- Dr. Bohdan J Warycha
- 1579 Straits Tpke Lowr Level
- Middlebury, CT
- Zip : 06762-1835
- Fax : (203) 598-0200
- Phone : (203) 598-7246
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 047752 | CT |
National Provider Identifier
| NPI | 1154580827 |
|---|---|
| Provider Name | Dr. Bohdan J Warycha |
| First Address | Middlebury, CT 06762 |
| Second Address | Middlebury, CT 06762-1835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2008 |
| Last Update Date | 25/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 013362500 | (05) | FL |
| 145UZ/33345 | BCBS (01) | FL |
| DA333Z | (02) | FL |
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.