Thomas J Maciolek


Address: 1 Fort Hill Rd, Suite 12, Groton, CT 06340-4799

Thomas J Maciolek (NPI# 1821198508, PAC ID# 6507905114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1821198508
PAC ID by PECOS 6507905114
Professional Enrollment ID I20091120000007
Full Name Thomas J Maciolek
Address 1 Fort Hill Rd
Suite 12
Groton
CT 06340-4799
Gender M
Graduation Year 1980
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1 Fort Hill Rd, Suite 12, Groton, CT 06340-4799

Organization Information

Office Location

Street Address 1 FORT HILL RD
SUITE 12
City GROTON
State CT
Zip 06340-4799

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Competitor

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City GROTON
Zip Code 06340
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty GROTON + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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