Individual
DR. ELLEN D KULAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 WATER ST, NORWALK, CT 06854-3013
(203) 899-1770
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 853-2375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038398
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001383984
—
CT
01
—
010038398CT03
ANTHEM B/C
CT
01
—
2498126
AETNA
CT
01
—
2V5437
HEALTHN ET
CT
01
—
38398
CONNECTICARE
CT
Enumeration date
01/25/2006
Last updated
05/17/2011
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