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Contact Information

DAMIAN KALISIEWICZ, MD
1000 ASYLUM AVE STE 4309B
HARTFORD, CT06105
 Phone: 860-714-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAMIAN KALISIEWICZ · (Male)

NPI Number 1629459904
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2015
Last updated 06/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 1.060415
  • MI License # 4301107096
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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