MEDICARE: MS. ANNA MARIE KARBOWSKI

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	124Q00000X	Dental Hygienist	003545	CT

General Provider Information

NPI Number	:	1619379518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA MARIE KARBOWSKI

Provider Business Mailing Address
First Line	:	3 ROMA DR
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-2158
Country	:	US
Telephone Number	:	860-677-2136
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 ROMA DR
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-2158
Country	:	US
Telephone Number	:	860-677-2136
Fax Number	:

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

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	09/23/2014

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