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NPI Code Detail

MEDICARE: DR. BOZENA KRYSTYNA MALYSZKO M.D.

MEDICARE: DR. BOZENA KRYSTYNA MALYSZKO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician233797MA

General Provider Information

NPI Number : 1316112279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BOZENA KRYSTYNA MALYSZKO M.D.
Provider Business Mailing Address
First Line : 20 YORK STREET, CB-329
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3220
Country : US
Telephone Number : 203-688-1734
Fax Number : 203-294-8705
Provider Business Practice Location Address
First Line : 50 GAYLORD FARM RD
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2828
Country : US
Telephone Number : 203-284-2800
Fax Number : 203-294-8705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 06/09/2020

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