Individual
DR. ARMEN G KETCHEDJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 BOSTON POST RD, SUITE 1, OLD SAYBROOK, CT 06475-2143
(203) 243-7686
(203) 264-1456
Mailing address
PO BOX 547, SOUTHBURY, CT 06488-0547
(203) 243-7686
(203) 264-1456
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
035600
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2V5180
ACS HEALTHNET
CT
01
—
500HBA454CT01
ANTHEM BC BS
CT
01
—
P2753812
OXFORD
CT
Enumeration date
03/26/2007
Last updated
07/08/2007
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