Healthcare Provider Details

I. General information

NPI: 1003833005
Provider Name (Legal Business Name): THOMAS PAWLOWSKI DBA THOMAS RESPIRATORY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 BEAUMONT HWY
LEBANON CT
06249-1103
US

IV. Provider business mailing address

PO BOX 941
NORWICH CT
06360-0941
US

V. Phone/Fax

Practice location:
  • Phone: 860-456-1669
  • Fax: 860-456-3543
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: THOMAS EDWIN PAWLOWSKI
Title or Position: OWNER
Credential:
Phone: 860-456-1669