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Organization

BARRY D KELS MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY DANA KELS M.D.,P.C. (PRESIDENT)
(860) 249-2020
Entity
Organization

Contact information

Practice address
19 WOODLAND ST, SUITE 41, HARTFORD, CT 06105-2372
(860) 249-2020
(860) 246-7549
Mailing address
19 WOODLAND ST, SUITE 41, HARTFORD, CT 06105-2372
(860) 249-2020
(860) 246-7549

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21553
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001215532
CT
Enumeration date
06/04/2010
Last updated
07/14/2010
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