Individual
CHARIS WILLARD KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAPEL ST, DEPT OF EMERGENCY MEDICINE, NEW HAVEN, CT 06511-4405
(203) 789-3464
Mailing address
1450 CHAPEL ST, DEPT OF EMERGENCY MEDICINE, NEW HAVEN, CT 06511-4405
(203) 789-3464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PENDING
CT
Other
Enumeration date
07/05/2007
Last updated
01/08/2010
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