Healthcare Provider Details

I. General information

NPI: 1447283460
Provider Name (Legal Business Name): DANUTA JAWORSKA-BZYMEK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 SAYBROOK RD
MIDDLETOWN CT
06457
US

IV. Provider business mailing address

535 SAYBROOK RD
MIDDLETOWN CT
06457
US

V. Phone/Fax

Practice location:
  • Phone: 860-343-0122
  • Fax: 860-347-2212
Mailing address:
  • Phone: 860-343-0122
  • Fax: 860-347-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number030276
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number030276
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number030276
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: