Individual
GLEN KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
11781 LEE JACKSON MEMORIAL HWY, ST 550, FAIRFAX, VA 22033-3309
(571) 777-5164
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
029385
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801814082
—
CT
Enumeration date
07/17/2006
Last updated
04/12/2016
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