Organization
WOODSTOCK MEDICAL GROUP, PC
Active
Organization
WOODSTOCK MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD W KLARE M.D. (PRESIDENT)
(860) 928-9270
Entity
Organization
Contact information
Practice address
168 RTE 171, S WOODSTOCK, CT 06267-0366
(860) 928-9270
(860) 928-3852
Mailing address
PO BOX 366, 168 RTE 171, S WOODSTOCK, CT 06267-0366
(860) 928-9270
(860) 928-3852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50WOODSTKCT01
ANTHEM BCBS GROUP NO.
CT
Enumeration date
02/23/2007
Last updated
09/11/2025
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