Individual
DR. DANA UFNAL KIVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
520 SAYBROOK RD STE 100B, MIDDLETOWN, CT 06457-4700
(860) 347-8850
Mailing address
520 SAYBROOK RD STE 100B, MIDDLETOWN, CT 06457-4700
(860) 347-8850
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55927
CT
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
55927
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008076307
—
CT
Enumeration date
06/20/2011
Last updated
05/01/2018
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