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Individual

DR. KEITH VOMEIGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
131 COVENTRY ST, BURGDORF CLINIC 2ND FLOOR - ADMINISTRATION, HARTFORD, CT 06112-1548
(860) 714-2813
(860) 714-8541
Mailing address
131 COVENTRY ST FL 2, HARTFORD, CT 06112-1548
(860) 714-2813
(860) 714-8541

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035520
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001355206-CL
CT
Enumeration date
08/13/2006
Last updated
07/07/2021
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