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Individual

DR. RONALD W. KLARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24 S. MAIN STREET, PUTNAM, CT 06260-1906
(860) 315-9026
(860) 315-9142
Mailing address
24 SOUTH MAIN STREET, PUTNAM, CT 06260-1906
(860) 315-9026
(860) 315-9142

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20041
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20041
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051161
HEALTHNET
01
10020041CT02
ANTHEM BCBS
CT
05
1200419
CT
Enumeration date
07/31/2006
Last updated
05/10/2023
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