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Individual

KENNETH L ECKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 347-7491
(860) 346-2118
Mailing address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 347-7491
(860) 346-2118

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
016500
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001165001
CT
Enumeration date
09/11/2006
Last updated
01/05/2012
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