| Dennis Kobylarz Md Pc | |
|
10 Granite Avenue Canaan CT 06018-0970 | |
| (860) 824-0753 | |
| (860) 824-4448 |
| Full Name | Dennis Kobylarz Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Granite Avenue, Canaan, Connecticut |
| Authorized Official Name and Position | Dennis Kobylarz (PRESIDENT) |
| Authorized Official Contact | 8608240753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Kobylarz Md Pc Po Box 970 Canaan CT 06018-0970 Ph: (860) 824-0753 | Dennis Kobylarz Md Pc 10 Granite Avenue Canaan CT 06018-0970 Ph: (860) 824-0753 |
| NPI Number | 1437383510 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 1759437452 |
|---|---|
| Medicare Enrollment ID | O20090922000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437383510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 027736 (Connecticut) | Primary |
| Provider Name | Dennis J Kobylarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003813965 PECOS PAC ID: 6507890845 Enrollment ID: I20090922000422 |
Community Health And Wellness Center Of Greater Torrington Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6-8 E Main St, Canaan, CT 06018 Phone: 860-362-5101 |