Individual
DR. MARTIN E KODISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MIDDLE ST, MC1B, MIDDLETOWN, CT 06457-7527
(860) 636-9555
(860) 636-5631
Mailing address
50 BEECHTREE LN, WEST HARTFORD, CT 06107-1001
(860) 561-4417
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
029134
CT
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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