Individual
DR. ADAM KENNETH CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, GENERAL SURGERY DEPT., FARMINGTON, CT 06030-6227
(860) 679-8080
(860) 679-1420
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01086536A
IN
2086S0129X
Vascular Surgery Physician
049789
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548404643
—
CT
Enumeration date
04/21/2009
Last updated
01/02/2024
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