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Contact Information

KIMBERLY GUZZIO, PA-C
196 PARKWAY S
SUITE 103
WATERFORD, CT06385-1234
 Phone: 860-443-4383
 Fax: 860-443-3980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY GUZZIO · (Female)

NPI # 1376587584
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/16/2006
Last updated 02/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001019
  • CT License # 1019
  • CT Medicaid 1376587584
  • RI Medicaid 1376587584
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
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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