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Individual
DR. ROLAND G KALLEN
Active
Individual
DR. ROLAND G KALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15003
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10009605
CAREMARK
PA
Enumeration date
07/24/2009
Last updated
05/03/2010
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