person
Stanley Lorenz Koleszar, RNCRNP
Family Nurse Practitioner in Putnam, Connecticut
NPI 1972571354

Stanley Lorenz Koleszar is a Family Nurse Practitioner based in Putnam, CT and is specialized in Family. Stanley Lorenz Koleszar practices in Putnam, CT and has the professional credentials of RNCRNP. The NPI Number for Stanley Lorenz Koleszar is 1972571354 and holds a License No. SP010390 (Connecticut).

The current practice location address for Stanley Lorenz Koleszar is 7 Kennedy Dr, Putnam, CT and can be reached out via phone at 860-928-7704 and via fax at 860-928-4092. You can also correspond with Stanley Lorenz Koleszar through the mailing address at 320 POMFRET STREET, PUTNAM, CT - 06260-1836 (mailing address contact number: 860-928-6541).

Location: 7 Kennedy Dr, Putnam, CT, 06260-1836
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Provider Profile Details
NPI Number
1972571354
Provider Name
Stanley Lorenz Koleszar
Credential
RNCRNP
Provider Entity Type
Individual
Gender
Male
Address
7 Kennedy Dr, Putnam, CT, 06260-1836
Phone Number
860-928-7704
Fax Number
860-928-4092
Provider Enumeration Date
03/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167622XZJ 05 PA
institution
Provider Business Practice Location Address Details
Address
7 Kennedy Dr
City
State
Zip
06260-1939
Phone Number
860-928-7704
Fax Number
860-928-4092
person
Provider Business Mailing Address Details
Address
7 Kennedy Dr
City
State
Zip
06260-1939
Phone Number
860-928-7704
Fax Number
860-928-4092
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP010390 (Pennsylvania)
Definition
Definition to come...
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