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DR. JERILYN S ALLEN MD

Physicians Otolaryngology

Provider NPI: 1588690374

Provider Information:
DR. JERILYN S ALLEN MD
Gender: F
Sole Proprietor

Practice Location:
36 WATSON ST  WILLIMANTIC, CT 06226-2122 US
Tel: 860-456-0287  Fax: 860-456-3532

Business Mailing Address:
36 WATSON ST  WILLIMANTIC, CT 06226-2122 US
Tel: 860-456-0287  Fax: 860-456-3532

NPI Information:
NPI: 1588690374
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XPhysicians
Otolaryngology
CT034032
N207YS0123XPhysicians
Otolaryngology
CT034032
N207YX0602XPhysicians
Otolaryngology
CT034032
N207YX0905XPhysicians
Otolaryngology
CT034032

Other Provider Identifiers:

IssuerNumberStateType
001340322CT05



American Medical Association 2012 taxonomy code information

Code: 207Y00000X

Type:

Classification:



Definition:



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