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Contact Information

BOHDAN J WARYCHA, MD
1579 STRAITS TPKE LOWR LEVEL
MIDDLEBURY, CT06762-1835
 Phone: 203-598-7246
 Fax: 203-598-0200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BOHDAN J WARYCHA · (Male)

NPI # 1154580827
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2008
Last updated 09/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 047752
  • FL Medicaid 013362500
  • FL Other 145UZ/33345 BCBS
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
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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