IndividualActive
Brenda Koblick, MD
NPI 1932136629 · Diagnostic Radiology Physician · New London, CT
Provider details
- NPI number
- 1932136629
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 023604 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
365 Montauk Ave
New London, CT 06320-4700
Phone: (860) 444-5193
Fax: (860) 444-6851
Approximate (ZIP-level) locationGet directions
Mailing address
365 Montauk Ave
New London, CT 06320-4700
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.