Opalacz, Stanislaus

Opalacz, Stanislaus is an individual health care provider with primary practice located at 410 Saybrook Rd Suite 201, Middletown CT 06457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Opalacz, Stanislaus can be contacted via phone (860) 347-4620.

Contact Information

Primary practice address
410 Saybrook Rd Suite 201 Middletown CT 06457
Fax: (860) 346-9687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 025965 Connecticut

Profile Details

NPI number 1215995238
LBN Legal business name Opalacz, Stanislaus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 25th, 2015 - about 11 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 1215995238 NPPES
Connecticut MEDICAID 001259656

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