Individual
GEORGE KELLY SIBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
313096
NY
208000000X
Pediatrics Physician
61686
CT
2080P0208X
Pediatric Infectious Diseases Physician
313096
NY
2080P0208X
Pediatric Infectious Diseases Physician
61686
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598793101
—
CT
Enumeration date
06/30/2006
Last updated
11/15/2022
Update your record
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