Individual
KRISTINE MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 N MAIN ST, SUITE 201, WEST HARTFORD, CT 06117-2515
(860) 561-7222
(860) 561-7228
Mailing address
345 N MAIN ST, SUITE 201, WEST HARTFORD, CT 06117-2515
(860) 561-7222
(860) 561-7228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052014
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052014
LICENSE
CT
Enumeration date
06/16/2009
Last updated
05/28/2013
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