Individual provider · NPI-1
Dr. Michele Diane Koleszar, M.D.
Obstetrics & Gynecology, Gynecology · Bridgeport, CT
NPI number1225064447
StatusActive
Last updated in NPPESNov 6, 2008
Details
- NPI
- 1225064447
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michele Diane Koleszar
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Nov 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 028587 | CT | Yes |
Practice location
4675 Main StBridgeport, CT 06606-1813
Phone 203-372-9998 · Fax 203-373-9095
Mailing address
4675 Main StBridgeport, CT 06606-1813
Phone 203-372-9998 · Fax 203-373-9095
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