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DR. KENNETH ROBERT COLLITON M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1417965575

Individual Registrant:
DR. KENNETH ROBERT COLLITON M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
100 GRAND ST  NEW BRITIAN, CT 06050 US
Tel: 860-224-5266  Fax: --

Contact information for business:
68 S SERVICE RD SUITE 350 MELVILLE, NC 22033-2921 US
Tel: 516-945-3000  Fax: 516-945-3131

Registration Information:
NPI: 1417965575
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
CT034359

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1417965575CT05




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