Individual
DR. KERI ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
282 WASHINGTON ST, CCMC, PRIMARY CARE CENTER, 1F, HARTFORD, CT 06106-3322
(860) 545-9333
(860) 545-9301
Mailing address
282 WASHINGTON ST, CCMC, PRIMARY CARE CENTER, 1F, HARTFORD, CT 06106-3322
(860) 545-9333
(860) 545-9301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046025
CT
Other
Enumeration date
01/30/2006
Last updated
04/12/2023
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