Provider Demographics
NPI:1245206663
Name:KRITZER, LESTER STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:LESTER
Middle Name:STEVEN
Last Name:KRITZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 MAIN ST
Mailing Address - Street 2:LEVEL B
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-6059
Mailing Address - Country:US
Mailing Address - Phone:860-649-0233
Mailing Address - Fax:
Practice Address - Street 1:935 MAIN ST
Practice Address - Street 2:LEVEL B
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6059
Practice Address - Country:US
Practice Address - Phone:860-649-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-25
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022080207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1100009984Medicare ID - Type Unspecified
CTB83725Medicare UPIN