Individual
KAILI TEMPLE DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 WASHINGTON BLVD, SUITE 440, STAMFORD, CT 06901-2216
(203) 276-7490
Mailing address
7 WOODS END RD, DARIEN, CT 06820-2908
(917) 494-2408
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
50799
CT
Other
Enumeration date
04/14/2009
Last updated
08/09/2012
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