Individual
DR. KENNETH ROBERT COLLITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITIAN, CT 06050
(860) 224-5266
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NC 22033-2921
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
034359
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417965575
—
CT
Enumeration date
08/04/2006
Last updated
04/24/2015
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