Individual
KENNETH A MERKATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 258-3477
(860) 571-6802
Mailing address
2110 SILAS DEANE HIGHWAY, ROCKY HILL, CT 06067
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
044919
CT
207RC0000X
Cardiovascular Disease Physician
ME76472
FL
207U00000X
Nuclear Medicine Physician
044919
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044919
MEDIAL LICENSE
CT
05
—
260983500
—
FL
Enumeration date
07/20/2005
Last updated
08/12/2010
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