Individual
DR. MARC BRUCE KALLINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1041 POQUONNOCK RD, GROTON, CT 06340-4211
(860) 445-1000
(860) 445-3347
Mailing address
1041 POQUONNOCK RD, GROTON, CT 06340-4211
(860) 445-1000
(860) 445-3347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2899
CT
Other
Enumeration date
08/06/2013
Last updated
05/16/2019
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