Provider Demographics
NPI:1689857674
Name:THERESA HUSZAR MD PC
Entity Type:Organization
Organization Name:THERESA HUSZAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF P,C.
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUSZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-877-1500
Mailing Address - Street 1:140 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3221
Mailing Address - Country:US
Mailing Address - Phone:203-877-1500
Mailing Address - Fax:203-874-7872
Practice Address - Street 1:140 CLARK ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3221
Practice Address - Country:US
Practice Address - Phone:203-877-1500
Practice Address - Fax:203-874-7872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty