Individual
RAYMOND CHARLES KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
256 N MAIN ST, MANCHESTER, CT 06042-2004
(860) 646-8595
(860) 645-3216
Mailing address
PO BOX 1086, HARTFORD MEDICAL GROUP, WILBRAHAM, MA 01095-7086
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000765
CT
363AM0700X
Medical Physician Assistant
Primary
000765
CT
Other
Enumeration date
12/16/2005
Last updated
04/11/2012
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