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DAY KIMBALL MEDICAL GROUP INC

Physicians Dermatology

Provider NPI: 1376813972

Organization Information:
Organization Name:  DAY KIMBALL MEDICAL GROUP INC
Organization is Subpart
Authorized Official:  ROBERT  SMANIK  PRESIDENT/CEO  860-928-6541

Practice Location:
320 POMFRET STREET  PUTNAM, CT 06260-1836 US
Tel: 860-928-6541  Fax: 860-963-6091

Business Mailing Address:
320 POMFRET STREET SUITE CSB2 PUTNAM, CT 06260-1836 US
Tel: 860-928-6541  Fax: 860-963-6091

NPI Information:
NPI: 1376813972
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207N00000XPhysicians
Dermatology
N207QS0010XPhysicians
Family Medicine
N207R00000XPhysicians
Internal Medicine
N207RC0200XPhysicians
Internal Medicine
N207RI0200XPhysicians
Internal Medicine
N207RP1001XPhysicians
Internal Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
N207VM0101XPhysicians
Obstetrics & Gynecology
N207VX0000XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
N208600000XPhysicians
Surgery
N208M00000XPhysicians
Hospitalist
N207P00000XPhysicians
Emergency Medicine
Y207Q00000XPhysicians
Family Medicine
N2083X0100XPhysicians
Preventive Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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