NPI 1295756203 · live from the CMS NPI Registry
Maria Bolastig, M.D.,
Anesthesiology in Waterbury, CT. National Provider Identifier 1295756203, active.
NPI record
| NPI | 1295756203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 140 Grandview Ave, Waterbury, CT 06708 |
| Practice phone | 203-757-7000 |
| Mailing address | 58 Old Towne Rd, Cheshire, CT 06410 |
| Enumerated | July 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 039849 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.