Individual
KAITLIN C QUALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1110 DURHAM RD, MADISON, CT 06443-1858
(203) 421-3600
Mailing address
1500 PLEASANT VALLEY RD STE C, MANCHESTER, CT 06042-8759
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71903
CT
Other
Enumeration date
05/15/2019
Last updated
01/11/2024
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