NPI 1790761765 · live from the CMS NPI Registry
Thomas Bladek, MD
Anesthesiology in Bridgeport, CT. National Provider Identifier 1790761765, active.
NPI record
| NPI | 1790761765 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 |
| Practice phone | 203-929-7353 |
| Mailing address | 4 Armstrong Rd, Shelton, CT 06484 |
| Enumerated | December 21, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 25690 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.