Provider Demographics
NPI:1497721831
Name:CZYRKO, CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:CZYRKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 NEW BRITAIN AVE
Mailing Address - Street 2:SUITE B2
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2036
Mailing Address - Country:US
Mailing Address - Phone:860-826-3880
Mailing Address - Fax:860-826-3883
Practice Address - Street 1:40 HART ST
Practice Address - Street 2:SUITE B2
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1743
Practice Address - Country:US
Practice Address - Phone:860-826-3880
Practice Address - Fax:860-826-3883
Is Sole Proprietor?:No
Enumeration Date:2006-02-26
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032304208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001323047Medicaid
CT280000030Medicare ID - Type Unspecified
CT001323047Medicaid