Organization
KALMAN L WATSKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN G FITZGERALD (PRACTICE ADMINISTRATOR)
(203) 789-4045
Entity
Organization
Contact information
Practice address
330 ORCHARD ST, SUITE 103, NEW HAVEN, CT 06511-4417
(203) 789-4045
(203) 789-3744
Mailing address
330 ORCHARD ST, SUITE 103, NEW HAVEN, CT 06511-4417
(203) 789-4045
(203) 789-3744
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
029613
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02398
GROUP NUMBER
CT
Enumeration date
09/20/2007
Last updated
09/20/2007
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