Beverly Waczek
Physician Assistant, Medical in Waterbury, Connecticut
1629094131- Practice location
- 64 Robbins St, Waterbury, CT 06708-2613
- Phone
- 203-573-6295
- Fax
- 203-573-7613
- Last updated
- January 8, 2008
Beverly Waczek is a Physician Assistant, Medical based in Waterbury, CT. Beverly Waczek practices in Waterbury, CT. The NPI Number for Beverly Waczek is 1629094131 and holds a License No. 001477 (CT). The current practice location address for Beverly Waczek is 64 Robbins St, Waterbury, CT 06708-2613 and can be reached out via phone at 203-573-6295 and via fax at 203-573-7613.
Provider Profile Details
- NPI Number
- 1629094131
- Provider Name
- Beverly Waczek
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 64 Robbins St, Waterbury, CT 06708-2613
- Phone Number
- 203-573-6295
- Fax Number
- 203-573-7613
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2006
- Last Update Date
- January 8, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Robbins St
Waterbury, CT 06708-2613 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2613
- Phone Number
- 203-573-6295
- Fax Number
- 203-573-7613
Provider Business Mailing Address Details
- Address
- 64 Robbins St
Waterbury, CT 06721-1589 - City
- Waterbury
- State
- CT
- Zip
- 06721-1589
- Phone Number
- 203-573-6295
- Fax Number
- 203-573-7613
License Information
- License Number
- 001477
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beverly Waczek?
The NPI number of Beverly Waczek is 1629094131. It was assigned on July 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Beverly Waczek?
Beverly Waczek is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001477.
Where does Beverly Waczek practice?
The practice location is 64 Robbins St, Waterbury, CT 06708-2613. The office can be reached at 203-573-6295 (phone) or 203-573-7613 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629094131 directly on the NPPES registry website.