Individual
DOUGLAS GEORGE KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 BOSTON POST RD, MADISON, CT 06443-3059
(203) 245-4226
(203) 245-4226
Mailing address
613 BOSTON POST RD, MADISON, CT 06443-3059
(203) 245-3165
(203) 245-4226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8724
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004048542
—
CT
01
—
0710271
NABP
CT
Enumeration date
01/06/2021
Last updated
01/06/2021
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