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Individual

DR. JONATHAN CRAIG ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5368
Mailing address
883 PADDOCK AVENUE, MERIDEN, CT 06450
(203) 630-5368

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
041054
CT
2084P0800X
Psychiatry Physician
75045
MA
2084P0804X
Child & Adolescent Psychiatry Physician
041054
CT
2084P0804X
Child & Adolescent Psychiatry Physician
75045
MA

Other

Enumeration date
10/20/2006
Last updated
04/27/2023
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