Individual
DR. ADRIAAN R HERKLOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, DKH PEDIATRIC CENTER, PUTNAM, CT 06260-1836
(860) 963-6390
(860) 963-6343
Mailing address
320 POMFRET ST, DKH PEDIATRIC CENTER, PUTNAM, CT 06260-1836
(860) 963-6390
(860) 963-6343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024321
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243211
—
CT
Enumeration date
08/30/2005
Last updated
07/16/2009
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