BEVERLY WACZEK

WATERBURY, CT
NPI1629094131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  001477)
Enumeration Date2006-07-15
Last Update Date2008-01-08
Business Address
-- BEVERLY WACZEK
64 ROBBINS ST
WATERBURY, CT 06708-2613
Phone number: 203-573-6295
Mailing Address
-- BEVERLY WACZEK
64 ROBBINS ST
WATERBURY, CT 06721-1589
Phone number: 203-573-6295
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