MEDICARE: TERESA M SZAJDA MD

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
1	208000000X	Pediatrics Physician	029393	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0R1832	OTHER	CT	HEALTHNET
2	010029393CT01	OTHER	CT	ANTHEM BCBS
3	773713	OTHER	CT	CONNECTICARE
4	45758	OTHER	CT	AETNA US HEALTHCARE
5	HAP050	OTHER	CT	OXFORD

General Provider Information

NPI Number	:	1760579296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA M SZAJDA MD

Provider Business Mailing Address
First Line	:	PO BOX 8026
Second Line	:	7 NORTH WASHINGTON STREET SUITE 109
City	:	PLAINVILLE
State	:	CT
Zip	:	06062-8026
Country	:	US
Telephone Number	:	860-747-8118
Fax Number	:	860-747-1633

Provider Business Practice Location Address
First Line	:	7 NORTH WASHINGTON STREET
Second Line	:	SUITE 109
City	:	PLAINVILLE
State	:	CT
Zip	:	06062-8026
Country	:	US
Telephone Number	:	860-747-8118
Fax Number	:	860-747-1633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/08/2007

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Directions to “ TERESA M SZAJDA MD” Practice Location

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