Individual provider · Type 1 NPI
Tetiana Kihiczak Bazarko, DPM
Primary Podiatric Medicine Podiatrist · Waterbury, CT
NPI number
1861555245
Active
Practice location
389 Highland Ave
Waterbury, CT 06708-3444
Fax (203) 757-4123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 000914 (CT) |
| Podiatrist | 213E00000X | 25MD00271900 (NJ) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00271900 (NJ) |
| Foot Surgery Podiatrist | 213ES0131X | 25MD00271900 (NJ) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 000914 (CT) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
About NPI 1861555245
Tetiana Kihiczak Bazarko, DPM's National Provider Identifier is 1861555245, issued on Dec 18, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Waterbury, CT. The record was last updated on Aug 6, 2019.