Individual
DR. ROY A KELLERMAN
Active
Individual
DR. ROY A KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23862
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001238625
—
CT
01
—
010023862CT05
BLUE CROSS
CT
01
—
73169936
CONNECTICARE
CT
Enumeration date
11/27/2006
Last updated
06/16/2021
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