Individual provider · Type 1 NPI

Beverly Waczek

Medical Physician Assistant · Waterbury, CT

NPI number 1629094131 Active

Practice location

64 Robbins St
Waterbury, CT 06708-2613

Call (203) 573-6295 Map

Fax (203) 573-7613

Mailing address

64 Robbins St
Waterbury, CT 06721-1589

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001477 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1629094131

Beverly Waczek's National Provider Identifier is 1629094131, issued on Jul 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on Jan 8, 2008.