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Individual

DR. KAREN BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06102
(860) 545-0335
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
030317
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001303171
CT
Enumeration date
07/26/2006
Last updated
02/21/2008
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