Individual
MR. SCOTT B CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
301 LEAVENWORTH RD, SHELTON, CT 06484-1841
(203) 513-2127
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0522
NH
Other
Enumeration date
04/25/2006
Last updated
01/07/2008
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