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Individual

KAY HAEDICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 GOOSE LANE, SUITE 1300, GUILFORD, CT 06437
(203) 453-9192
(203) 453-0875
Mailing address
19 LUNAR DRIVE, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-8854

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
026723
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001267237
CT
Enumeration date
06/06/2006
Last updated
01/30/2013
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