Individual
DR. BRIAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1185 MAIN ST, WILLIMANTIC, CT 06226-2093
(860) 423-7558
Mailing address
17 LAKE RD, COLUMBIA, CT 06237-1312
(860) 228-3215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
033449
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
033449
CT
Other
Enumeration date
09/20/2006
Last updated
10/16/2007
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