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Individual

DR. KENNETH N. SPIEGELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
27 HILLIARD ST, MANCHESTER, CT 06042-3001
(860) 646-3903
(860) 645-3492
Mailing address
230 CEDAR RIDGE TER, GLASTONBURY, CT 06033-1812
(860) 643-7955

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023393
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023393
CT LIC#
CT
Enumeration date
08/04/2006
Last updated
07/09/2007
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