Individual
SUZANNE J KLEKOTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 MONTAUK AVE, NEW LONDON, CT 06320-4842
(860) 444-2223
(860) 440-3153
Mailing address
155 MONTAUK AVE, NEW LONDON, CT 06320-4842
(860) 444-2223
(860) 440-3153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023818
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238189
—
CT
Enumeration date
07/18/2006
Last updated
06/23/2010
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