Kolodziejczak, Leszek A

Kolodziejczak, Leszek A is an individual health care provider with primary practice located at 162 Mansfield Ave. B, Willimantic CT 06226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kolodziejczak, Leszek A can be contacted via phone (860) 423-5000.

Contact Information

Primary practice address
162 Mansfield Ave. B Willimantic CT 06226
Phone: (860) 423-5000
Fax: (860) 423-4838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 032557 Connecticut

Profile Details

NPI number 1689600561
LBN Legal business name Kolodziejczak, Leszek A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689600561 NPPES
Connecticut Other 010032557CT01 ANTHEM BC / BS
Connecticut Other 030946 ANTHEM BC / BS
Connecticut MEDICAID 001325572 ANTHEM BC / BS
Connecticut Other 001325572 ANTHEM BC / BS
Connecticut Other 0811232 ANTHEM BC / BS
Connecticut Other 9079072002 ANTHEM BC / BS
Connecticut Other P469467 ANTHEM BC / BS
Connecticut Other P04569 ANTHEM BC / BS
Connecticut Other 767225 ANTHEM BC / BS

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