Individual
JAMES D WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WILLOWBROOK RD STE 2, CROMWELL, CT 06416
(860) 322-2222
(860) 322-6838
Mailing address
1 WILLOWBROOK RD STE 2, CROMWELL, CT 06416-1745
(860) 322-2222
(860) 322-6838
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
033745
CT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
033745
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337452
—
CT
Enumeration date
07/01/2005
Last updated
07/27/2023
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