Provider Demographics
NPI:1679918064
Name:SZANIAWSKI, EVA KRYSTYNA (MD)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:KRYSTYNA
Last Name:SZANIAWSKI
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 1:95 DUNCAN DR
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-3617
Mailing Address - Country:US
Mailing Address - Phone:203-948-8077
Mailing Address - Fax:
Practice Address - Street 1:95 DUNCAN DR
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-3617
Practice Address - Country:US
Practice Address - Phone:203-948-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028606207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTA63325Medicare UPIN