Individual
CARL D MALCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3245
(860) 679-1867
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
026503
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265032
—
CT
Enumeration date
06/22/2005
Last updated
07/11/2022
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